Active NPI
Judy G. Dziugas, PSY.D.
- Clinical Psychologist
- Elmhurst, IL
National Provider Identifier
1922099019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071005781
- Practice address
- 180 W Park Ave
#115
Elmhurst, IL 60126-3357 - Phone
- (630) 279-0845
- Fax
- (630) 530-4441
- NPI assigned
- Oct 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071005781 | IL | Primary |
Addresses
Primary practice location
180 W Park Ave
#115
Elmhurst, IL 60126-3357
Mailing address
180 W Park Ave
#130
Elmhurst, IL 60126-3357
Phone (630) 279-0845
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02222483 | Other | IL | BLUE CROSS BLUE SHIELD |
| G23900 | Other | IL | MAGELLAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051230000146 | IL | Practitioner - Clinical Psychologist | 9335161637 | Practice locations: Elmhurst, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Elmhurst, IL 60126
Phone (630) 279-0845
180 W Park Ave
Suite 130
Elmhurst, IL 60126-3379
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411862400000",
"number": "1922099019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 W PARK AVE",
"address_2": "#130",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263357",
"telephone_number": "630-279-0845",
"fax_number": "630-530-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W PARK AVE",
"address_2": "#115",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263357",
"telephone_number": "630-279-0845",
"fax_number": "630-530-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIUGAS",
"first_name": "JUDY",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-29",
"last_updated": "2014-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071005781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02222483",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "G23900",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; 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.