Active NPI
Little Hill Psychology Clinic, Inc.
- Clinical Psychologist
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008713
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Niles, IL
- NPI 1053580951
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.