Joseph W. Byrne, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009613 Issued in IL

Practice address

456 W Frontage Rd Ste 232
Northfield, IL 60093-3034

Phone

(847) 644-1210

NPI assigned

Sep 13, 2011

Last updated

Mar 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Trinity Psychological Services

  • Clinical Psychologist
  • Northfield, IL
  • NPI 1053711127
  NPD Authorized official

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1124300470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 W FRONTAGE RD STE 232",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933034",
            "telephone_number": "847-644-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 W FRONTAGE RD STE 232",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933034",
            "telephone_number": "847-644-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "JOSEPH",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Bugay, LCPC
• Bryn W. Jessup, PHD, PC
• Iryna Bugay
• Tia Burel
• Andrea J Burruss
• Ann Bystedt, LCSW
• John Raymond Cahill III
• Virginia Calderon
• Judy Ann Callans, LCSW
• Daniel Callistein, MSW, LCSW

• Clinical Psychologist in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.