Individual provider Active NPI

Deanna Weiss, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1639149164
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005587 Issued in IL
Practice address
1112 S Washington St
Suite 217
Naperville, IL 60540-7959
Phone
(630) 355-0470
Fax
(630) 629-8048
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071005587 IL Primary

Addresses

Primary practice location

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

Mailing address

1112 S Washington St
Suite 217
Naperville, IL 60540-7959
Phone (630) 355-0470

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
I20070315000093 IL Practitioner - Clinical Psychologist 1355444100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1755 Park St
Suite 300
Naperville, IL 60563-8497
Phone (630) 355-5280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071005587ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Services, LTD CurrentSince Apr 1, 2009 Accepting new patients
Dupage Psychological Associates LTD Clinical Past Accepting new patients

Locations

1755 Park St
Ste 300
Naperville, IL 60563
Phone (630) 416-6056

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639149164",
    "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": "630-355-0470",
            "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": "630-355-0470",
            "fax_number": "630-629-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DEANNA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.