John Hilary Kluczynski, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003230 Issued in IL

Practice address

1100 Jorie Blvd Ste 272
Oak Brook, IL 60523-4426

Phone

(708) 275-4583

NPI assigned

Aug 17, 2006

Last updated

Aug 8, 2023By the provider in NPPES

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, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1881708188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16748 S 181ST LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381031",
            "telephone_number": "708-275-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 272",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234426",
            "telephone_number": "708-275-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCZYNSKI",
        "first_name": "JOHN",
        "middle_name": "HILARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Klein
• Olivia Kleinman, PSY.D.
• Kleiser Therapy Services PC
• Susan C Kling-Colson, P.A.
• Juliane Klinke, LCSW
• Beverly Ellen Knigge, A.P.N., C.N.P.
• Jennifer Natalie Knox, M.A., L.C.P.C.
• Jessica Knox, RBT
• Susan Kochlefl, DDS
• Ann Marie Kolker Rychel, MA, CCC-SLP

• Clinical Psychologist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.