Individual provider Active NPI

Vicki W Kowalsky, MSN PSYD

  • Clinical Psychologist
  • Oak Lawn, IL
National Provider Identifier
1689736050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
10735 S Cicero Avenue
208
Oak Lawn, IL 60453
Phone
(708) 424-0001
Fax
(708) 424-1394
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

10735 S Cicero Avenue
208
Oak Lawn, IL 60453

Mailing address

10735 S Cicero Avenue
208 Center for Psychological Services
Oak Lawn, IL 60453
Phone (708) 424-0001

Other identifiers 1

IdentifierTypeStateIssuer
01623005OtherBCBS CENTER FOR PSYCHOLOG

Other names 1

  • Dr. Victoria L Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services,LTD CurrentSince Dec 17, 2003 Accepting new patients

Locations

10735 S Cicero Ave
Ste 208
Oak Lawn, IL 60453
Phone (708) 424-0001

Organizations & group practices 1

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689736050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVENUE",
            "address_2": "208 CENTER FOR PSYCHOLOGICAL SERVICES",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-424-0001",
            "fax_number": "708-424-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVENUE",
            "address_2": "208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-424-0001",
            "fax_number": "708-424-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKY",
        "first_name": "VICKI",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MSN PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CENTER FOR PSYCHOLOG",
            "identifier": "01623005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "WILLIAMS",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MSN PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.