Provider Demographics
NPI:1003549106
Name:SHELDON, MATTHEW SCOTT (LMHC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:SCOTT
Last Name:SHELDON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 MAPLE HILL ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4176
Mailing Address - Country:US
Mailing Address - Phone:914-962-5101
Mailing Address - Fax:914-962-5102
Practice Address - Street 1:143 WEST ST STE V
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3525
Practice Address - Country:US
Practice Address - Phone:860-799-5750
Practice Address - Fax:860-969-1978
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012357101YM0800X
CT005916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health