Active NPI
Joanna Izabela Czupryna, PSY.D.
- Clinical Psychologist
- Hoffman Estates, IL
National Provider Identifier
1730338617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-008550
- Practice address
- 1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-5029 - Phone
- (847) 755-8090
- Fax
- (847) 843-7393
- NPI assigned
- Sep 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.007411 | IL | |
| Clinical Psychologist | 103TC0700X | 071-008550 | IL | Primary |
Addresses
Primary practice location
1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-5029
Mailing address
1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-5029
Phone (847) 755-8090
Other names 1
- Joanna Izabela Huk
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joanna.huk.1@380.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1250 S Grove Ave
Suite 200
Barrington, IL 60010-5011
Phone (847) 323-7880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.007411 | IL | MD | Mental Health Counselor |
| 071-008550 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Age Psyc PLLC | Clinical | Current | Accepting new patients |
Interoperability endpoints
- joanna.huk.1@15182.direct.athenahealth.com
- joanna.huk.1@380.direct.athenahealth.com
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.
-
- Clinical Psychologist
- South Barrington, IL
- NPI 1548031255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1730338617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 MOON LAKE BLVD",
"address_2": "SUITE 104",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601695029",
"telephone_number": "847-755-8090",
"fax_number": "847-843-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 MOON LAKE BLVD",
"address_2": "SUITE 104",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601695029",
"telephone_number": "847-755-8090",
"fax_number": "847-843-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZUPRYNA",
"first_name": "JOANNA",
"middle_name": "IZABELA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.007411",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-008550",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joanna.huk.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1786 Moon Lake Blvd",
"address_2": "Suite 104",
"city": "Hoffman Estates",
"state": "IL",
"country_code": "US",
"postal_code": "601695029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "HUK",
"middle_name": "IZABELA",
"credential": "PSYD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.