Individual provider Active NPI

Anna Katarzyna Zabiegly, PSYD

  • Clinical Psychologist
  • Lisle, IL
National Provider Identifier
1508170622
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008301 Issued in IL
Practice address
3080 Ogden Ave Ste 104C
Lisle, IL 60532-1693
Phone
(630) 272-4717
NPI assigned
Jul 30, 2010
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.005409 IL
Clinical Psychologist 103TC0700X 071008301 IL Primary

Addresses

Primary practice location

3080 Ogden Ave Ste 104C
Lisle, IL 60532-1693

Mailing address

3080 Ogden Ave Ste 104C
Lisle, IL 60532-1693
Phone (630) 272-4717

Other identifiers 1

IdentifierTypeStateIssuer
91MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120626000017 IL Practitioner - Clinical Psychologist 3072778091 Reassigns benefits to 1 organization
Practice locations: Lisle, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Lisle, IL 60532
Phone (630) 272-4717

1 Westbrook Corporate Ctr
Suite 300
Westchester, IL 60154-5709
Phone (708) 375-3075

Merit-based Incentive Payment System (MIPS)

Final score
71.06 of 100Reported as group
Quality
11.54
Promoting interoperability
77
Improvement activities
40
Cost
77.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.005409ILMDProfessional Counselor
071008301ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychiatric Services PLLC Clinical CurrentSince Aug 1, 2015 Accepting new patients
Geriatric Psychiatric Services PLLC Current Accepting new patients
Geriatric Psychiatric Services PLLC CurrentSince Aug 1, 2015 Accepting new patients
Davken Associates, P.C. Clinical PastSince May 1, 2016 Accepting new patients
Geriatric Psychiatric Services PLLC Clinical Past Accepting new patients

Locations

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1508170622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE STE 104C",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321693",
            "telephone_number": "630-272-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE STE 104C",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321693",
            "telephone_number": "630-272-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABIEGLY",
        "first_name": "ANNA",
        "middle_name": "KATARZYNA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.005409",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.