Individual provider Active NPI

Erica D. Drzonek-Edwards, PSY.D.

  • Clinical Psychologist
  • Hinsdale, IL
National Provider Identifier
1063729911
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008820 Issued in IL
Practice address
15 Spinning Wheel Rd.
Suite 426
Hinsdale, IL 60521
Phone
(630) 323-3050
Fax
(630) 323-3058
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008820 IL Primary

Addresses

Primary practice location

15 Spinning Wheel Rd.
Suite 426
Hinsdale, IL 60521

Mailing address

15 Spinning Wheel Rd.
Suite 426
Hinsdale, IL 60521
Phone (630) 323-3050

Other identifiers 2

IdentifierTypeStateIssuer
071.008820OtherILIL LICENSE #
1633920OtherILBLUE CROSS BLUE SHEILD ORGANIZATION IDENTIFIER

Other names 1

  • Erica D. Drzonek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429001095 IL Practitioner - Clinical Psychologist 7810129582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Lodestone Center for Behavioral Health PCGroup PAC ID 6709128317, 27 clinicians

Practice addresses (Care Compare)

15 Spinning Wheel Rd
Suite 426
Hinsdale, IL 60521-7671
Phone (847) 854-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.008820ILMDClinical Psychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1063729911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD.",
            "address_2": "SUITE 426",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-323-3050",
            "fax_number": "630-323-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD.",
            "address_2": "SUITE 426",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-323-3050",
            "fax_number": "630-323-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRZONEK-EDWARDS",
        "first_name": "ERICA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE #",
            "identifier": "071.008820",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD ORGANIZATION IDENTIFIER",
            "identifier": "1633920",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DRZONEK",
            "middle_name": "D.",
            "credential": "PSY. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.