Physician Compare National (NPI:1700916525)

HEALTHCARE PROVIDER: AMY BECKER-MATTES PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1700916525
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749223543
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050602000826
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BECKER MATTES
	Individual professional last name
Provider First Name	AMY
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	CP
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	208 EDGERSTOUNE RD
	Group Practice or individual's line 1 address
City	PRINCETON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	085406718
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6099245591
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y