PETER A DODZIK (NPI# 1437156999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437156999 |
Entity Type | Individual |
Full Name | PETER A DODZIK |
Credential | PSY.D. |
Practice Address |
121 S Wilke Rd Ste 200 Arlington Heights IL 60005-1525 |
Practice Telephone | (847) 577-0904 |
Mailing Telephone | 8475770904 |
Enumeration Date | 2005-06-30 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | 071006408 | IL | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071006408 | IL | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
20041718 | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200406360 | 05 | |
IN | RR MEDICARE | 680015841 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4306 E State Blvd, Fort Wayne, IN 468156915 | 2604603203 | 2604603204 |
Street Address |
121 S WILKE RD STE 200 |
City | ARLINGTON HEIGHTS |
State | IL |
Zip Code | 60005-1525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083122766 | Kelsey Erin Oster | Psychologist | 121 S Wilke Rd Ste 200, Arlington Heights, IL 60005 | 2018-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
Find all providers in zip 60005 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134745847 | Elizabeth U. Lucchese | Psychologist | 126 E Wing St # 166, Arlington Heights, IL 60004-6064 | 2020-06-18 |
1376173831 | Dr. Jamie Riley, Psychotherapy Practice, LLC | Psychologist | 2015 S Arlington Heights Rd Ste 110, Arlington Heights, IL 60005-4150 | 2020-01-23 |
1568988905 | Compassionate Neuropsychology, LLC | Psychologist | 315 N Dryden Pl, Arlington Heights, IL 60004-6313 | 2017-08-17 |
1801271036 | Elizabeth Sherman | Psychologist | 11 W College Dr Ste B, Arlington Heights, IL 60004-1900 | 2015-07-29 |
1902221203 | Ilene Berns-zare | Psychologist | 3248 N Volz Dr E, Arlington Heights, IL 60004-1642 | 2014-02-23 |
1750656567 | Matthew William Hefferon | Psychologist | 1650 N Arlington Heights Rd, Suite 101, Arlington Heights, IL 60004-3945 | 2012-03-12 |
1871806927 | Karina M Corradi | Psychologist | 1404 W Fremont St, Arlington Heights, IL 60005-1102 | 2010-07-19 |
1558596387 | Heather Marie Brown | Psychologist | 3325 N Arlington Heights Rd Ste 400b, Ste 1127, Arlington Heights, IL 60004-1583 | 2009-05-22 |
1932386117 | Shannon Kathleen Riley | Psychologist | 120 W Eastman St Ste 200, Arlington Heights, IL 60004-5949 | 2008-01-30 |
1467645911 | Martha Hinkle | Psychologist | 412 W Hintz Rd, Arlington Heights, IL 60004-2439 | 2007-08-18 |
Find all providers in ARLINGTON HEIGHTS |
City | ARLINGTON HEIGHTS |
Zip Code | 60005 |
Please comment or provide details below to improve the information on PETER A DODZIK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.