Jill A Matusek, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.7004 Issued in OH

Practice address

25550 Chagrin Blvd
200
Beachwood, OH 44122-5638

Phone

(216) 765-0500

Fax

(216) 765-0521

NPI assigned

Sep 29, 2011

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Partners for Behavioral Health and Wellness IncGroup PAC ID 6305088972, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbc.jillmatusek@140094.advancedmd-direct.com

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

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment Care Compare group NPD
• Partners for Behavioral Health and Wellness Inc

  • Psychologist
  • Beachwood, OH
  • NPI 1083057723
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1083998801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25550 CHAGRIN BLVD",
            "address_2": "200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225638",
            "telephone_number": "216-765-0500",
            "fax_number": "216-765-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25550 CHAGRIN BLVD",
            "address_2": "200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225638",
            "telephone_number": "216-765-0500",
            "fax_number": "216-765-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSEK",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.7004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Massey, PT, DPT
• Scott L Massien, MD
• Delaney Matsko, PT, DPT
• Erin LH Matson
• Joshua Tyler Matthews, DPT, PT
• Yael Mauer
• Shirl Mauldin
• Jennifer Mausolf
• Brian Mausser, APRN
• Maggie Helmy Mawad

• Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.