JEFF D. KAZMIERCZAK, PSY.D., P.C.
JEFF D. KAZMIERCZAK, PSY.D., P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1316203896, based in Bourbonnais, IL. The organization lists 6 taxonomy classifications, with Clinical Neuropsychologist recorded as primary.
Getting there
The practice address on file is 19 HERITAGE DR SUITE 211, Bourbonnais, IL 60914. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 071008293 | IL | Rehabilitation Psychologist |
This provider holds licence 071008293 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical Neuropsychologist covers
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. NUCC Health Care Provider Taxonomy, code 103G00000X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | — | — | primary |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | — | — | |
| 103TC0700X | Clinical Psychologist Clinical | — | — | |
| 103TC1900X | Counseling Psychologist Counseling | — | — | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | — | — | |
| 103TR0400X | Rehabilitation Psychologist Rehabilitation | 071008293 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1316203896 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 9, 2012 |
| Last updated | Nov 15, 2012 |
| Status | Active |
| Practice address |
19 HERITAGE DR SUITE 211 Bourbonnais, IL 60914 (815) 933-8760 Fax (815) 933-9061 |
| Mailing address |
2626 FLOSSMOOR RD 2E Flossmoor, IL 60422 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 1 | 6 | 2 | 0 | 3 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 2 | 6 | 4 | 0 | 6 | 8 | 9 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.