Individual provider Active NPI

George Karol Bialkowski, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1669713475
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009240 Issued in IL
Practice address
2132 Deep Water LN Ste 212B
Naperville, IL 60564-8498
Phone
(630) 473-3971
NPI assigned
Mar 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071009240 IL
Clinical Psychologist 103TC0700X 071009240 IL Primary

Addresses

Primary practice location

2132 Deep Water LN Ste 212B
Naperville, IL 60564-8498

Mailing address

1250 N Mill St Ste 101
Naperville, IL 60563-6305
Phone (630) 473-3971

Other practice location 1

1250 N Mill St Ste 101
Naperville, IL 60563-6305
Phone (630) 473-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130419000131 AZ Practitioner - Clinical Psychologist 6608012570 Reassigns benefits to 1 organization
I20160428001863 IL Practitioner - Clinical Psychologist 6608012570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1560 Wall St
Suite 304
Naperville, IL 60563-1262
Phone (630) 379-3457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009240ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
George K. Bialkowski, Psy.D., PLLC Clinical Current Accepting new patients
Neuropsychology LTD Clinical Neuropsychologist CurrentSince Mar 5, 2013 Accepting new patients
Marana Health Center, Inc Psychologist Past Accepting new patients

Locations

2650 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 320-6230

6019 E Grant Rd
Tucson, AZ 85712
Phone (520) 352-9955

7461 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 320-6230

1560 Wall St
Ste 304
Naperville, IL 60563
Phone (630) 355-1533

Organizations & group practices 3

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1669713475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636305",
            "telephone_number": "630-473-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 DEEP WATER LN STE 212B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648498",
            "telephone_number": "630-473-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 N Mill St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605636305",
            "country_code": "US",
            "telephone_number": "630-473-3971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIALKOWSKI",
        "first_name": "GEORGE",
        "middle_name": "KAROL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071009240",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.