Counseling and Diagnostic Center of Woodfield, Ltd.
NPI 1821151135ActiveOrganization· Psychologist, Clinical· Schaumburg, IL
Psychologist, Clinical in Schaumburg, Illinois, registered in NPPES in December 2006. The authorized official on file is David R. Jezl, PSY.D., Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821151135 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Feb 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Clinical Neuropsychologist | 103G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
Other Psychologist, Clinical providers in Schaumburg
- 1790879468
- 1285213769
- 1306636089
- 1841615929
- 1710098876
- 1881475242
- 1376011049
- 1821231234
- 1184990160
- 1568314961
- 1982214474
- 1447547211