Robert Wysocki, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008451 Issued in IL

Practice address

1911 Springside Dr
Plainfield, IL 60586-4257

Phone

(630) 776-0085

NPI assigned

Oct 29, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Infocus Behavioral Health, Inc.

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1194115113
  NPD (past) Authorized official

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1487908505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 SPRINGSIDE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864257",
            "telephone_number": "630-776-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 SPRINGSIDE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864257",
            "telephone_number": "630-776-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOCKI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wounded Healers Counseling Service LLC
• Kimberly Wright
• William Everett Wright, D.C.
• Phoebe Wu, OTD, OTR/L
• Kathryn Wunsch
• Bo Xu, C.M.D.
• Yaden, Inc.
• Yarshen Family Medicine SC
• Jennifer Yoon
• Justin Christopher Young

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.