DR. ANNA MATYJA – Clinical Psychologist, NPI 1255789285

DR. ANNA MATYJA is a healthcare provider. based in Addison, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 071.009390 (IL). The NPI Number for DR. ANNA MATYJA is 1255789285

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNA MATYJA
NPI
1255789285
Phone
(224) 578-3709
Address
228 E Lake St
Enumeration Date
31 May 2016
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475788442
Graduation Year
2004 (22 years ago)
PAC ID
6800177213
Group Practice PAC ID
6002902798
Professional Enrollment ID
I20161223000192
Address ID
IL600643090NO3471XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. ANNA MATYJA

  • 228 E Lake St

    Addison, IL 601012889

    Phone: (224) 578-3709

    Type: Location

  • 228, Lake Street, Addison, DuPage County, Illinois, 60101, United States

    ADDISON, IL 601012889

    Phone: (224) 578-3709

    Type: Location

  • 3471 GREEN BAY ROAD

    NORTH CHICAGO, IL 60064

    Phone: (847) 473-4357

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161223000192IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour11715$0
View full utilization report →

Insurance plans in this area (ZIP 60101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002902798View full group profile

Reviews

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Frequently asked questions

Can I verify DR. ANNA MATYJA with an NPI only?
You can start verification with NPI 1255789285 for DR. ANNA MATYJA, then check state licensing separately.
Does CMS list DR. ANNA MATYJA as active?
Yes — DR. ANNA MATYJA is active in the NPI listing used on this page.
What taxonomy line describes DR. ANNA MATYJA?
For research purposes, treat DR. ANNA MATYJA as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ANNA MATYJA list a practice location?
Patients near Addison, Illinois may find DR. ANNA MATYJA in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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