Individual provider Active NPI

Rachel A Piszczor, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Chicago, IL
National Provider Identifier
1417041583
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071007429 Issued in IL
Practice address
222 Merchandise Mart PLZ
Tcspp-13TH Floor-Office 1355
Chicago, IL 60654-1103
Phone
(703) 599-1168
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 071007429 IL Primary

Addresses

Primary practice location

222 Merchandise Mart PLZ
Tcspp-13TH Floor-Office 1355
Chicago, IL 60654-1103

Mailing address

325 N Wells St
Tcspp-Merchandise Mart Office 1355
Chicago, IL 60654-7024
Phone (703) 599-1168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071007429ILMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1417041583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N WELLS ST",
            "address_2": "TCSPP-MERCHANDISE MART OFFICE 1355",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547024",
            "telephone_number": "703-599-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MERCHANDISE MART PLZ",
            "address_2": "TCSPP-13TH FLOOR-OFFICE 1355",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606541103",
            "telephone_number": "703-599-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISZCZOR",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071007429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.