National Provider Identifier

Scott Christopher Matheis Jr.

Scott Christopher Matheis Jr. is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 213-8350.

NPI 1245919133Buffalo, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1245919133
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
July 17, 2023
Last Updated
July 17, 2023

Practice Location

  • 34 Benwood Ave
  • Buffalo, NY 14214-1761

Phone: (716) 213-8350

Mailing Address

  • 4486 Emerson Pl
  • Gasport, NY 14067-9207

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
NPI
1245919133
Entity Type
Individual
Last Name
Matheis
First Name
Scott
Middle Name
Christopher
Name Suffix
Jr.
Mailing Street Address
4486 Emerson Pl
Mailing City
Gasport
Mailing State
NY
Mailing ZIP Code
14067-9207
Mailing Country
US
Mailing Phone
(716) 213-8350
Practice Street Address
34 Benwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1761
Practice Country
US
Practice Phone
(716) 213-8350
Enumeration Date
July 17, 2023
Last Updated
July 17, 2023
Sex
Male
Sole Proprietor
No
Certification Date
July 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X)