Individual provider Active NPI

Patrycja Nykiel, PSY. D.

  • Counseling Psychologist
  • Chicago, IL
National Provider Identifier
1861725566
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
178004623 Issued in IL
Practice address
3022 N Harlem Ave Ste 1N
Chicago, IL 60634-4791
Phone
(708) 710-8819
Fax
(773) 745-4545
NPI assigned
Sep 12, 2009
Last updated
Feb 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 178004623 IL Primary

Addresses

Primary practice location

3022 N Harlem Ave Ste 1N
Chicago, IL 60634-4791

Mailing address

3022 N Harlem Ave Ste 1N
Chicago, IL 60634-4791
Phone (708) 710-8819

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
I20240704000016 IL Practitioner - Mental Health Counselor 1658815360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wegierek Psychology Center, Inc.Group PAC ID 2769494020, 3 clinicians

Practice addresses (Care Compare)

3022 N Harlem Ave
Suite 1N
Chicago, IL 60634-4791
Phone (708) 710-8819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wegierek Psychology Center, Inc CurrentSince Jun 19, 2024 Accepting new patients

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1861725566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 N HARLEM AVE STE 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344791",
            "telephone_number": "708-710-8819",
            "fax_number": "773-745-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 N HARLEM AVE STE 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344791",
            "telephone_number": "708-710-8819",
            "fax_number": "773-745-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYKIEL",
        "first_name": "PATRYCJA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-12",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "178004623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.