Individual provider Active NPI

Vanessa Houdek, PSY.D.

  • Clinical Psychologist
  • Oak Lawn, IL
National Provider Identifier
1982092193
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008972 Issued in IL
Practice address
4700 W 95TH St
Suite LL5
Oak Lawn, IL 60453-2533
Phone
(630) 220-5627
Fax
(708) 346-4868
NPI assigned
Dec 23, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008972 IL Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU

Addresses

Primary practice location

4700 W 95TH St
Suite LL5
Oak Lawn, IL 60453-2533

Mailing address

4700 W 95TH St
Suite LL5
Oak Lawn, IL 60453-2533
Phone (630) 220-5627

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

State licenses

LicenseStateTypeSpecialty
071.008972ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday Empowered Counseling Services, LTD. Current Accepting new patients
Everyday Empowered Clinical Services, LTD. CurrentSince Oct 4, 2020 Accepting new patients

Locations

122 N Wheaton Ave
Unit 1159
Wheaton, IL 60187

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, 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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1982092193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE LL5",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "630-220-5627",
            "fax_number": "708-346-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE LL5",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "630-220-5627",
            "fax_number": "708-346-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDEK",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008972",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.