NPIMap

Individual provider Active NPI

Darlene A Osowiec, PH.D.

  • Psychologist
  • Geneva, IL
National Provider Identifier
1679786560
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071005178 Issued in IL
Practice address
2247 Blackberry Dr
Suite a
Geneva, IL 60134-1076
Phone
(630) 845-8740
Fax
(630) 845-8760
NPI assigned
May 7, 2007
Last updated
May 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071005178 IL Primary
Psychologist 103T00000X PSY16374 CA
Psychologist 103T00000X MO
Adult Development & Aging Psychologist 103TA0700X 071005178 IL
Adult Development & Aging Psychologist 103TA0700X PSY16374 CA
Cognitive & Behavioral Psychologist 103TB0200X 071005178 IL
Cognitive & Behavioral Psychologist 103TB0200X PSY16374 CA
Clinical Child & Adolescent Psychologist 103TC2200X 071005178 IL
Clinical Child & Adolescent Psychologist 103TC2200X PSY16374 CA
Family Psychologist 103TF0000X 071005178 IL
Family Psychologist 103TF0000X PSY16374 CA
Health Service Psychologist 103TH0100X 071005178 IL
Health Service Psychologist 103TH0100X PSY16374 CA
Group Psychotherapy Psychologist 103TP2701X 071005178 IL
Group Psychotherapy Psychologist 103TP2701X PSY16374 CA

Addresses

Primary practice location

2247 Blackberry Dr
Suite a
Geneva, IL 60134-1076

Mailing address

2247 Blackberry Dr
Suite a
Geneva, IL 60134-1076
Phone (630) 845-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY16374CAMDGroup Psychotherapy Psychologist
071005178ILMDGroup Psychotherapy Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1679786560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 BLACKBERRY DR",
            "address_2": "SUITE A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341076",
            "telephone_number": "630-845-8740",
            "fax_number": "630-845-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 BLACKBERRY DR",
            "address_2": "SUITE A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341076",
            "telephone_number": "630-845-8740",
            "fax_number": "630-845-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOWIEC",
        "first_name": "DARLENE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005178",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16374",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IL",
            "license": "071005178",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY16374",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071005178",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY16374",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071005178",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY16374",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "IL",
            "license": "071005178",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY16374",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "071005178",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY16374",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IL",
            "license": "071005178",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY16374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.