Individual provider Active NPI

Mark J. Kuzia, PSY.D.

  • Clinical Psychologist
  • Hinsdale, IL
National Provider Identifier
1831459775
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008272 Issued in IL
Practice address
501 W. Ogden Avenue
Suite 1
Hinsdale, IL 60521-3984
Phone
(630) 986-0599
Fax
(630) 986-1477
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2012

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 071008272 IL Primary

Addresses

Primary practice location

501 W. Ogden Avenue
Suite 1
Hinsdale, IL 60521-3984

Mailing address

501 W. Ogden Avenue
Suite 1
Hinsdale, IL 60521-3984
Phone (630) 986-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008272ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1831459775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W. OGDEN AVENUE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213984",
            "telephone_number": "630-986-0599",
            "fax_number": "630-986-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W. OGDEN AVENUE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213984",
            "telephone_number": "630-986-0599",
            "fax_number": "630-986-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZIA",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.