DR. MATTHEW PAUL ZICCARDI (PSYD) – Clinical Neuropsychologist, NPI 1972508471
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
Provider Addresses for DR. MATTHEW PAUL ZICCARDI (PSYD)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone:
Type: Mailing
1325 PATTON CT
TWINSBURG, OH 440871014
Phone: (330) 486-5958
Type: Mailing
155 5TH ST NE
BARBERTON, OH 442033332
Phone: (330) 615-3900
Fax: (330) 615-3909
Type: Location
Parkview Hospital Randallia, 2200, Randalia Drive, Fort Wayne, Allen County, Indiana, 46805, United States
FORT WAYNE, IN 46805
Phone: (260) 373-4538
Fax: (260) 373-9225
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040820000667 | I | Clinical Psychologist | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46845)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | OH | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 308 | 95 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | OH | |
| Critical Care (Intensivists) | KY | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| N E P H R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| General Surgery | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.