Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Matthew Michael Carbonelli, PHD

Individual provider Counselor · NPI 1396259818

Mr. Matthew Michael Carbonelli, PHD is a Clinical Psychologist in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2021, 5 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone: (715) 390-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4158 (WI)
Counselor Taxonomy 101Y00000X

Record details

NPI number1396259818
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023
Mailing address2311 N Prospect Ave, Milwaukee, WI 53211-4445

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Columbia St Marys Hospital Milwaukee Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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