Organization Active NPI

Jane V. Dyonzak, PH.D.

  • Clinical Psychologist
  • Glenview, IL
National Provider Identifier
1780668939
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004588 Issued in IL
Legal business name
JANE V. DYONZAK, PH.D.
Practice address
3633 W Lake Ave
Suite 404
Glenview, IL 60026-5805
Phone
(847) 657-6007
Fax
(847) 657-6412
NPI assigned
Dec 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Jane V Dyonzak, PH.D.NPI 1689658825
Title
Clinical Psychologist
Phone
(847) 657-6007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071004588 IL Primary

Addresses

Primary practice location

3633 W Lake Ave
Suite 404
Glenview, IL 60026-5805

Mailing address

3633 W Lake Ave
Suite 404
Glenview, IL 60026-5801
Phone (847) 657-6007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1780668939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 404",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265801",
            "telephone_number": "847-657-6007",
            "fax_number": "847-657-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 404",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-657-6007",
            "fax_number": "847-657-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE V. DYONZAK, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "DYONZAK",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-657-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.