Timothy Paquette, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007092 Issued in IL

Practice address

1979 N Mill St Ste 204
Naperville, IL 60563-8472

Phone

(630) 474-1006

Fax

(833) 218-8811

NPI assigned

Apr 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gryzbek Therapy Services LLCGroup PAC ID 3476886722, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Gryzbek Therapy Services LLC

  • Adult Mental Health Clinic/Center
  • Naperville, IL
  • NPI 1649778994
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1861246852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 N MILL ST STE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638472",
            "telephone_number": "630-474-1006",
            "fax_number": "833-218-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 N MILL ST STE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638472",
            "telephone_number": "630-474-1006",
            "fax_number": "833-218-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Papagiannopoulos, MD
• Tasso Papagiannopoulos, M.D.
• Cathy Papagiorgio, LCPC
• Evans P Pappas, MD
• Alyssa Lea Papuga, DO
• Makena Paramo, PA-C
• Paramount Physical Therapy LLC
• Rey Dominick Paranal, PT, DPT
• Ayesha Husain Pardesi, D.M.D.
• Angelina Aspasia Pardo

• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.