Active NPI
Vicki W Kowalsky, MSN PSYD
- Clinical Psychologist
- Oak Lawn, IL
National Provider Identifier
1689736050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01623005 | Other | BCBS CENTER FOR PSYCHOLOG |
Other names 1
- Dr. Victoria L Williams
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Psychological Services,LTD | Current | 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.
-
- Mental Health Counselor
- Oak Lawn, IL
- NPI 1285874966
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.