NPIMap

Organization Active NPI

Georgien Dudzek, Psy.D. LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
National Provider Identifier
1124746649
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GEORGIEN DUDZEK, PSY.D. LLC
Practice address
4517 Woodgate Dr
Janesville, WI 53546-8203
Phone
(608) 580-0031
Fax
(608) 580-0038
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Georgien D. Dudzek, PSYDNPI 1396167177
Title
Owner / Clinical Director
Phone
(608) 580-0031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4517 Woodgate Dr
Janesville, WI 53546-8203

Mailing address

4517 Woodgate Dr
Janesville, WI 53546-8203
Phone (608) 580-0031

Other practice location 1

111 N Main St Ste 100
Janesville, WI 53545-3072
Phone (608) 580-0031

Other names 1

  • Synapse Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221028001523 WI Part B Supplier - Clinic/Group Practice 3274900550 Receives reassigned benefits from 4 practitioners
Practice locations: Janesville, WI

National Provider Directory

National Provider Directory

Locations

4517 Woodgate Dr
Janesville, WI 53546

111 N Main St
Ste 100
Janesville, WI 53545
Phone (608) 580-0031

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1124746649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 WOODGATE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468203",
            "telephone_number": "608-580-0031",
            "fax_number": "608-580-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 WOODGATE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468203",
            "telephone_number": "608-580-0031",
            "fax_number": "608-580-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535453072",
            "country_code": "US",
            "telephone_number": "608-580-0031",
            "fax_number": "608-580-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIEN DUDZEK, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "DUDZEK",
        "authorized_official_first_name": "GEORGIEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "608-580-0031",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synapse Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synapse Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.