Organization Active NPI

Neuroclarity Center, PLLC

  • Clinical Neuropsychologist
  • Mount Prospect, IL
National Provider Identifier
1629957428
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROCLARITY CENTER, PLLC
Practice address
350 W Kensington Rd Ste 111
Mount Prospect, IL 60056-1141
Phone
(847) 707-4249
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Paoula D Jedziniak, PSYDNPI 1962928259
Title
Owner/Neuropsychologist
Phone
(773) 431-1728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

350 W Kensington Rd Ste 111
Mount Prospect, IL 60056-1141

Mailing address

350 W Kensington Rd Ste 111
Mount Prospect, IL 60056-1141
Phone (773) 431-1728

National Provider Directory

National Provider Directory

Locations

350 W Kensington Rd
Ste 111
Mount Prospect, IL 60056
Phone (847) 707-4249

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1629957428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD STE 111",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "773-431-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD STE 111",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "847-707-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCLARITY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "JEDZINIAK",
        "authorized_official_first_name": "PAOULA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "773-431-1728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.