Deborah a Czupek

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DEBORAH A CZUPEK

Practice address

5757 W 95TH St
Ste 9
Oak Lawn, IL 60453-2370

Phone

(708) 425-4797

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Anne Czupek, PH.D.NPI 1427176189

Title

Owner

Phone

(708) 425-4797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Deborah Anne Czupek, PH.D.

  • Clinical Psychologist
  • Oak Lawn, IL
  • NPI 1427176189
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326161530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W 95TH ST",
            "address_2": "STE 9",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532370",
            "telephone_number": "708-425-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W 95TH ST",
            "address_2": "STE 9",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532370",
            "telephone_number": "708-425-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A CZUPEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZUPEK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-425-4797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.