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MS. PHYLLIS MARIE MATICHAK LCADC PENDING
NPI 1659531242
Counselor - Addiction (Substance Use Disorder) in Cedar Knolls, NJ

Active since June 17, 2008PECOS Enrolled
100 E HANOVER AVE FL 1, SAINT CLARE'S BEHAVIORAL HEALTH CENTER, CEDAR KNOLLS, NJ 07927(973) 401-2170(973) 401-2183 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Phyllis Marie Matichak Lcadc Pending NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PHYLLIS MARIE MATICHAK LCADC PENDING (NPI 1659531242) is an individual addiction (substance use disorder) provider in Cedar Knolls, New Jersey, licensed in New Jersey (LCADC PENDING) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659531242
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. PHYLLIS MARIE MATICHAKCredential: LCADC PENDING
Location Address100 E HANOVER AVE FL 1, SAINT CLARE'S BEHAVIORAL HEALTH CENTERCedar Knolls, NJ 07927-2020
Mailing Address100 E Hanover Ave Fl 1, Saint Clare's Behavioral Health CenterCedar Knolls, NJ 07927-2020 · (973) 401-2170 · Fax (973) 401-2183
Phone(973) 401-2170
Fax(973) 401-2183
Sole ProprietorNo
Enumeration DateJune 17, 2008
✔ NPI 1659531242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · LCADC PENDING
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License NOT LICENSED (NJ)
100 E HANOVER AVE FL 1, Cedar Knolls, NJ 07927
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Phyllis Marie Matichak Lcadc Pending is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Matichak's NPI number?

The NPI number for Phyllis Matichak is 1659531242. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Phyllis Matichak located?

Phyllis Matichak practices at 100 E Hanover Ave Fl 1 Saint Clare's Behavioral Health Center, Cedar Knolls, NJ 07927. The listed phone number is (973) 401-2170.

What is Phyllis Matichak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Phyllis Matichak enrolled in Medicare?

Yes. Phyllis Matichak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Matichak was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.