Individual provider Active NPI

Katarzyna Gancarczyk, RN, MSN, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1962272427
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.036416 Issued in IL
Practice address
822 S Stratford Ave
Elmhurst, IL 60126-4651
Phone
(773) 829-2203
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 041.377079 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.036416 IL Primary

Addresses

Primary practice location

822 S Stratford Ave
Elmhurst, IL 60126-4651

Mailing address

822 S Stratford Ave
Elmhurst, IL 60126-4651
Phone (773) 829-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.377079ILMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1962272427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S STRATFORD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264651",
            "telephone_number": "773-829-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S STRATFORD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264651",
            "telephone_number": "773-829-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCARCZYK",
        "first_name": "KATARZYNA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "041.377079",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.036416",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.