Individual provider Active NPI

Daniel Galbo

  • Psychologist
  • Janesville, WI
National Provider Identifier
1891323663
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5334-57 Issued in WI
Practice address
4517 Woodgate Dr
Janesville, WI 53546-8203
Phone
(608) 580-0031
Fax
(608) 580-0038
NPI assigned
Mar 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5334-57 WI Primary
Clinical Psychologist 103TC0700X 071.010172 IL

Addresses

Primary practice location

4517 Woodgate Dr
Janesville, WI 53546-8203

Mailing address

2122 Park Crest Dr
Freeport, IL 61032-3553
Phone (312) 801-5964

Other practice location 1

2005 Bloomingdale Rd Ste B
Glendale Heights, IL 60139-2151
Phone (312) 801-5964

Other practice location 2

111 N Main St Ste 100
Janesville, WI 53545-3072
Phone (608) 580-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250708001855 WI Practitioner - Clinical Psychologist 9436663952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Georgien Dudzek, Psy.D. LLCGroup PAC ID 3274900550, 3 clinicians

Practice addresses (Care Compare)

111 N Main St
Suite 100
Janesville, WI 53545-3072

4517 Woodgate Dr
Janesville, WI 53546-8203
Phone 6085800031101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5334-57WIMDPsychologist
071.010172ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgien Dudzek, Psy.D. LLC CurrentSince Apr 1, 2025 Accepting new patients
Riversedge Chiropractic, LLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

4517 Woodgate Dr
Janesville, WI 53546

111 N Main St
Ste 100
Janesville, WI 53545
Phone (608) 580-0031

Organizations & group practices 2

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1891323663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 PARK CREST DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323553",
            "telephone_number": "312-801-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 WOODGATE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468203",
            "telephone_number": "608-580-0031",
            "fax_number": "608-580-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Bloomingdale Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Glendale Heights",
            "state": "IL",
            "postal_code": "601392151",
            "country_code": "US",
            "telephone_number": "312-801-5964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535453072",
            "country_code": "US",
            "telephone_number": "608-580-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALBO",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "5334-57",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.