Izabella Brzoza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-88016 Issued in IL

Practice address

650 W Grand Ave Ste 207
Elmhurst, IL 60126-1025

Phone

(844) 263-1613

Fax

(844) 263-1612

NPI assigned

Aug 21, 2019

Sex

Female

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

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Long Grove Center for Emotional Health LLCGroup PAC ID 0042562886, 6 clinicians

Practice addresses (Care Compare)

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.

• Long Grove Center for Emotional Health LLC

  • Mental Health Counselor
  • Long Grove, IL
  • NPI 1790220820
  Medicare reassignment Care Compare group NPD
• Total Spectrum, LLC

  • Behavior Analyst
  • Elmhurst, IL
  • NPI 1922423177
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1548817729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W GRAND AVE STE 207",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261025",
            "telephone_number": "844-263-1613",
            "fax_number": "844-263-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W GRAND AVE STE 207",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261025",
            "telephone_number": "844-263-1613",
            "fax_number": "844-263-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOZA",
        "first_name": "IZABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-19-88016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Brottman, MD
• Julie Brown, APRN, CNM
• Edward E. Bruen, DMD
• Bryk Senior Homecare
• Jeffrey Bryk
• Stephanie Bucz, RD
• Liz Buhai-Jacobus, PSY.D.
• Stephen Buhr, MSW, LCSW
• Sara Marie Buikema, LCSW
• Diane Marola Bullock

• Behavior Technician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.