Lawrence Todryk, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006449 Issued in IL

Practice address

100 N Atkinson Rd Ste 106
Grayslake, IL 60030-7805

Phone

(224) 577-5308

Fax

(847) 223-0911

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Integrative Psychological Services, Inc

  • Clinical Psychologist
  • Grayslake, IL
  • NPI 1205042652
  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1326164377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BELLE CT",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302301",
            "telephone_number": "224-577-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ATKINSON RD STE 106",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307805",
            "telephone_number": "224-577-5308",
            "fax_number": "847-223-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Belle Ct",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302301",
            "country_code": "US",
            "telephone_number": "224-577-5308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODRYK",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-03-27",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thurston & Associates
• Debra Thurston, M.A., L.C.P.C.
• Laurine A Tiema-Benson, MD
• Ellen E Tkach, DDS
• Tldubose LLC
• Alissa Tomanek, MA
• Sukhdip Toor, PHARMD
• Ann Torp, LMT
• Teneia Townsend
• Diana Trew, MD

• Clinical Psychologist in Grayslake, IL
• Providers in Grayslake, 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 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.