Individual provider Active NPI

Elizabeth Anne Maloy-Matuzik, PSY.D

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1326318742
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009575 Issued in IL
Practice address
1827 Walden Office SQ Ste 510
Schaumburg, IL 60173-4278
Phone
(708) 822-8623
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.009575 IL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1827 Walden Office SQ Ste 510
Schaumburg, IL 60173-4278

Mailing address

894 Nelli CT
202
Naperville, IL 60563-4204
Phone (708) 822-8623

Other practice location 1

894 Nelli Ct
202
Naperville, IL 60563-4204
Phone (708) 822-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20190809000868 IL Practitioner - Clinical Psychologist 6204163538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maloy Therapeutic Alliance IncGroup PAC ID 7416284740, 5 clinicians

Practice addresses (Care Compare)

33 W Higgins Rd
Suite 2030
South Barrington, IL 60010-9342
Phone (847) 844-0864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009575ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maloy Therapeutic Alliance Inc Clinical CurrentSince Jul 1, 2019 Accepting new patients
DM Speech Therapy LLC PastSince Jul 1, 2019 Accepting new patients

Locations

1827 Walden Office Sq
Ste 510
Schaumburg, IL 60173
Phone (708) 822-8623

33 W Higgins Rd
Ste 2030
South Barrington, IL 60010
Phone (224) 628-5823

Organizations & group practices 2

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": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1326318742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 NELLI CT",
            "address_2": "202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634204",
            "telephone_number": "708-822-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 WALDEN OFFICE SQ STE 510",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734278",
            "telephone_number": "708-822-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "894 Nelli Ct",
            "address_2": "202",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605634204",
            "country_code": "US",
            "telephone_number": "708-822-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOY-MATUZIK",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009575",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.