Dupage Psychological Associates LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DUPAGE PSYCHOLOGICAL ASSOCIATES LTD

Practice address

1112 S Washington St
Suite 217
Naperville, IL 60540-7959

Phone

(630) 355-4070

Fax

(630) 629-8048

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rita Bieszk

Title

Office Manager

Phone

(630) 629-8046

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josephine B Kennedy, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1902876816
  NPD (past)
• Joanne Marie Lorenz, PH.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1497725394
  NPD (past)
• Gerald Christopher McCallum, PH.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1700856614
  NPD (past)
• Deanna Weiss, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1639149164
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619083912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 217",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "630-355-4070",
            "fax_number": "630-629-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 217",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "630-355-4070",
            "fax_number": "630-629-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE PSYCHOLOGICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIESZK",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-629-8046",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mariya Duquene
• Grazyna G. Durchslag, LPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.