Organization Active NPI

Little Hill Psychology Clinic, Inc.

  • Clinical Psychologist
  • Park Ridge, IL
National Provider Identifier
1801267471
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008713 Issued in IL
Legal business name
LITTLE HILL PSYCHOLOGY CLINIC, INC.
Practice address
1550 N Northwest Hwy Ste 108E
Park Ridge, IL 60068-1458
Phone
(773) 727-6982
Fax
(847) 983-0004
NPI assigned
Oct 8, 2015
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Dr. Mateusz Stanislaw Barczyk, PSY.D.NPI 1053580951
Title
Owner/Clinical Psychologist
Phone
(773) 727-6982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008713 IL Primary

Addresses

Primary practice location

1550 N Northwest Hwy Ste 108E
Park Ridge, IL 60068-1458

Mailing address

8120 W Davis St
Niles, IL 60714-1508
Phone (773) 727-6982

Other practice location 1

5719 N Milwaukee Ave
Chicago, IL 60646-6215
Phone (773) 727-6982

National Provider Directory

National Provider Directory

Locations

5719 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 727-6982

1460 Renaissance Dr
Ste 310F
Park Ridge, IL 60068

1550 N Northwest Hwy
Ste 108D
Park Ridge, IL 60068

1550 N Northwest Hwy
Ste 108E
Park Ridge, IL 60068
Phone (773) 727-6982

1550 N Northwest Hwy
Ste 109B
Park Ridge, IL 60068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1801267471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 W DAVIS ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141508",
            "telephone_number": "773-727-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY STE 108E",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681458",
            "telephone_number": "773-727-6982",
            "fax_number": "847-983-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5719 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606466215",
            "country_code": "US",
            "telephone_number": "773-727-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE HILL PSYCHOLOGY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "BARCZYK",
        "authorized_official_first_name": "MATEUSZ",
        "authorized_official_middle_name": "STANISLAW",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-727-6982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.