Individual provider Active NPI

Nap Pozulp, PH. D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1841480522
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-002362 Issued in IL
Practice address
77 W Washington St
Ste 1601
Chicago, IL 60602-3210
Phone
(312) 630-1001
Fax
(312) 630-1342
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 071-002362 IL Primary

Addresses

Primary practice location

77 W Washington St
Ste 1601
Chicago, IL 60602-3210

Mailing address

77 W Washington St
Ste 1601
Chicago, IL 60602-3210
Phone (312) 630-1001

Other identifiers 1

IdentifierTypeStateIssuer
1644767OtherILBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000523 IL Practitioner - Clinical Psychologist 9537337571 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Grant SQ
Suite 232
Hinsdale, IL 60521-3351

77 W Washington St
Suite 1601
Chicago, IL 60602-3210
Phone (312) 630-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-002362ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Psychologists Clinical PastSince Sep 17, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1841480522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "address_2": "STE 1601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023210",
            "telephone_number": "312-630-1001",
            "fax_number": "312-630-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "address_2": "STE 1601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023210",
            "telephone_number": "312-630-1001",
            "fax_number": "312-630-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZULP",
        "first_name": "NAP",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-002362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1644767",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.