Matthew William Hefferon, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008309 Issued in IL

Practice address

3139 N Lincoln Ave Ste 222B
Chicago, IL 60657-3141

Phone

(312) 669-4874

NPI assigned

Mar 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comprehensive Neuropsychology Services

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1457891764
  NPD (past) Authorized official
• Targeted Learning Solutions, Inc.

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1124354766
  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1750656567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 W BUCKINGHAM PL",
            "address_2": "1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572383",
            "telephone_number": "312-669-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 N LINCOLN AVE STE 222B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573141",
            "telephone_number": "312-669-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERON",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Heffernan, FNP
• Matthew D Heffernan, MD
• Michael Heffernan
• John Hefferon, M.D.
• Margaret M Hefferon, FNP-BC
• Ahmad Hefnawy Mohammad Hefnawy
• Terese Rosalyn Hefter, LCPC CMADC
• Ahmed M Hegazy, BDS.DMD
• Amber Marie Hegewald, LCPC, CCTP
• Jessica Hegge, RPH

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.