DR. JESSICA PETERS MYSZAK PH.D.
NPI 1114224656
Psychologist - Clinical in Glenview, IL

Q: What is Jessica Myszak's NPI number?

The NPI number for Jessica Myszak is 1114224656. It was assigned to this individual provider in the NPPES registry on February 18, 2011.

Q: What is Jessica Myszak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jessica Myszak enrolled in Medicare?

No. Jessica Myszak has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jessica Myszak was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 18, 2011Opted out of Medicare · through Feb 12, 2028

2700 PATRIOT BLVD STE 250, GLENVIEW, IL 60026(847) 558-7321(847) 696-8181 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jessica Peters Myszak Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA PETERS MYSZAK PH.D. (NPI 1114224656) is an individual clinical provider in Glenview, Illinois, licensed in Illinois (071.010187) and active in the NPI registry since February 2011. She has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1114224656

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA PETERS MYSZAKCredential: PH.D.

Location Address2700 PATRIOT BLVD STE 250Glenview, IL 60026-8021

Mailing Address2700 Patriot Blvd Ste 250Glenview, IL 60026-8021 · (847) 558-7321 · Fax (847) 696-8181

Phone(847) 558-7321

Fax(847) 696-8181

Sole ProprietorNo

Enumeration DateFebruary 18, 2011

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1114224656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in IL · 071.010187✔ Licensed in TN · 3011✔ Licensed in WI · 3962-57

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2700 PATRIOT BLVD STE 250, Glenview, IL 60026

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jessica Peters Myszak Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024

Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN CHARVET APRN, CNP

Nurse Practitioner (Psychiatric/Mental Health)