Organization Active NPI

Gryzbek Therapy Services LLC

  • Adult Mental Health Clinic/Center
  • Naperville, IL
National Provider Identifier
1649778994
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
071.009076 Issued in IL
Legal business name
GRYZBEK THERAPY SERVICES LLC
Practice address
1979 N Mill St Ste 204
Naperville, IL 60563-8472
Phone
(630) 474-1171
Fax
(833) 218-8811
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Dr. Joseph Gryzbek, PSY.D.NPI 1538513213
Title
Clinical Psychologist
Phone
(630) 474-1171

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 071.009076 IL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 071.009076 IL

Addresses

Primary practice location

1979 N Mill St Ste 204
Naperville, IL 60563-8472

Mailing address

1979 N Mill St Ste 204
Naperville, IL 60563-8472
Phone (630) 474-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531001513 IL Part B Supplier - Clinic/Group Practice 3476886722 Receives reassigned benefits from 4 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1979 N Mill St
Ste 204
Naperville, IL 60563
Phone (630) 474-1006

Practitioners & affiliated clinicians

Practitioners 5

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": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1649778994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 N MILL ST STE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638472",
            "telephone_number": "630-474-1171",
            "fax_number": "833-218-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 N MILL ST STE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638472",
            "telephone_number": "630-474-1171",
            "fax_number": "833-218-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRYZBEK THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "GRYZBEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-474-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071.009076",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "071.009076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.