Individual provider Active NPI

Keaton Clauss Muzika, PH.D

  • Clinical Psychologist
  • Wilmette, IL
National Provider Identifier
1033446992
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010202 Issued in IL
Practice address
1940 Highland Ave
Wilmette, IL 60091-2360
Phone
(603) 491-7462
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 080084 NY
Clinical Social Worker 1041C0700X 09923641 CO
Clinical Psychologist 103TC0700X 071010202 IL Primary

Addresses

Primary practice location

1940 Highland Ave
Wilmette, IL 60091-2360

Mailing address

1940 Highland Ave
Wilmette, IL 60091-2360
Phone (603) 491-7462

Other names 1

  • Keaton Clauss Muzika Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071010202ILMDClinical Psychologist
09923641COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Muzika Consulting LLC CurrentSince Dec 8, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1033446992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HIGHLAND AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912360",
            "telephone_number": "603-491-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HIGHLAND AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912360",
            "telephone_number": "603-491-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZIKA",
        "first_name": "KEATON",
        "middle_name": "CLAUSS",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923641",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEATON",
            "last_name": "MUZIKA",
            "middle_name": "CLAUSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.