1. Home
  2. Directory
  3. Illinois
  4. Lisle
  5. Psychiatry Neurology
  6. NPI Profile

TINA M MATTERA M.D.
NPI 1952526345
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lisle, IL

Active since April 13, 2007PECOS Enrolled
5950 LINCOLN AVE, UNIT W, LISLE, IL 60532(630) 541-8930(630) 541-8940 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tina M Mattera M.d. NPPES

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

TINA M MATTERA M.D. (NPI 1952526345) is an individual child & adolescent psychiatry provider in Lisle, Illinois, licensed in Illinois (036099511) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952526345
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameTINA M MATTERACredential: M.D.
Location Address5950 LINCOLN AVE, UNIT WLisle, IL 60532-3104
Mailing Address5950 Lincoln Ave, Unit WLisle, IL 60532-3104 · (630) 541-8930 · Fax (630) 541-8940
Phone(630) 541-8930
Fax(630) 541-8940
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateSeptember 29, 2009
✔ NPI 1952526345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036099511
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036099511 (IL)
5950 LINCOLN AVE, Lisle, IL 60532
Open in Google Maps ↗

Other Identifiers 1

OtherBCBSIL · 022-27624

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina M Mattera M.d. 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLSPRING CLINICAL ASSOCIATES, INC.
Psychiatry & Neurology (Psychiatry)
5950 LINCOLN AVE, UNIT W
LISLE, IL 60532
Dupage County (630) 541-8930
MRS. KARY PEKAREK LCSW
Social Worker (Clinical)
5950 LINCOLN AVE, UNIT W
LISLE, IL 60532
Dupage County (630) 541-8930
DR. THOMAS LEO DIMATTEO MD
Psychiatry & Neurology (Psychiatry)
5950 LINCOLN AVE, UNIT W
LISLE, IL 60532
Dupage County (630) 541-8930
MR. PHILIP MARTINEZ LCPC
Counselor (Professional)
5950 LINCOLN AVE, UNIT W
LISLE, IL 60532
Dupage County (630) 541-8930

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 Tina Mattera's NPI number?

The NPI number for Tina Mattera is 1952526345. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Tina Mattera located?

Tina Mattera practices at 5950 Lincoln Ave Unit W, Lisle, IL 60532. The listed phone number is (630) 541-8930.

What is Tina Mattera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Tina Mattera enrolled in Medicare?

Yes. Tina Mattera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Mattera was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.