Organization Active NPI

Wegierek Psychology Center, Inc

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1831131515
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WEGIEREK PSYCHOLOGY CENTER, INC
Practice address
3022 N Harlem Ave
1 North
Chicago, IL 60634-4786
Phone
(708) 710-8819
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Authorized official

Name
Dr. Anna Maria Wegierek-Skorupa, PSYD
Title
Clinical Psychologist
Phone
(708) 710-8819

Specialties & licenses 1

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

Addresses

Primary practice location

3022 N Harlem Ave
1 North
Chicago, IL 60634-4786

Mailing address

3022 N Harlem Ave
1 North
Chicago, IL 60634-4786
Phone (708) 710-8819

Other practice location 1

7620 W 159th St
Orland Park, IL 60462-5400
Phone (708) 710-8819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060705000059 IL Part B Supplier - Clinic/Group Practice 2769494020 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Orland Park, IL

National Provider Directory

National Provider Directory

Locations

3022 N Harlem Ave
Ste 1N
Chicago, IL 60634
Phone (708) 710-8819

7831 W 95th St
Hickory Hills, IL 60457
Phone (708) 710-8819

Practitioners & affiliated clinicians

Practitioners 4

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740268800000",
    "number": "1831131515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 N HARLEM AVE",
            "address_2": "1 NORTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344786",
            "telephone_number": "708-710-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 N HARLEM AVE",
            "address_2": "1 NORTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344786",
            "telephone_number": "708-710-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7620 W 159th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604625400",
            "country_code": "US",
            "telephone_number": "708-710-8819",
            "fax_number": "773-745-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEGIEREK PSYCHOLOGY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "WEGIEREK-SKORUPA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-710-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.