Mateusz Stanislaw Barczyk, PSY.D.
Individual provider Active NPI Clinical Psychologist · Niles, IL
NPI 1053580951 · NPPES record last updated Jan 14, 2023
Key facts
- NPI
- 1053580951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071008713 (IL)
- Practice address
- 8120 W Davis St
Niles, IL 60714-1508 - Phone
- (773) 727-6982
- Fax
- (847) 983-0004
- NPI assigned
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071008713 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Hill Psychology Clinic, Inc. | Clinical | Current |
Accepting new patients |
Locations
1550 N Northwest Hwy
Ste 108E
Park Ridge, IL 60068
Phone (773) 727-6982
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008713 | IL | Yes |
Addresses
Primary practice location
8120 W Davis St
Niles, IL 60714-1508
Mailing address
8120 W Davis St
Niles, IL 60714-1508
Phone (773) 727-6982
Other providers in Niles, IL
- Marjerie M Badilla
- Seung Eun Baik
- Bams Manufacturing Co., Inc.
- Anastasia Baran
- Kayla Marie Barango
- Ioana Laura Barham
- Spiro Barlas
- Laura L Baron
- Paul S Bartkowski
- Stephanie Denise Bell
All providers in Niles, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.