Provider Demographics
NPI:1801267471
Name:LITTLE HILL PSYCHOLOGY CLINIC, INC.
Entity type:Organization
Organization Name:LITTLE HILL PSYCHOLOGY CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATEUSZ
Authorized Official - Middle Name:STANISLAW
Authorized Official - Last Name:BARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-727-6982
Mailing Address - Street 1:8120 W DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1508
Mailing Address - Country:US
Mailing Address - Phone:773-727-6982
Mailing Address - Fax:
Practice Address - Street 1:1550 N NORTHWEST HWY STE 108E
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1458
Practice Address - Country:US
Practice Address - Phone:773-727-6982
Practice Address - Fax:847-983-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008713103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty