PETER A DODZIK PSY.D.
NPI 1437156999
Clinical Neuropsychologist in Arlington Heights, IL

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
415 W GOLF RD STE 16, ARLINGTON HEIGHTS, IL 60005(847) 577-0904 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2022, Feb 8, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Peter A Dodzik Psy.d. NPPES

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

PETER A DODZIK PSY.D. (NPI 1437156999) is an individual clinical neuropsychologist in Arlington Heights, Illinois, licensed in Illinois (071006408) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1437156999
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NamePETER A DODZIKCredential: PSY.D.
Location Address415 W GOLF RD STE 16Arlington Heights, IL 60005-3923
Mailing Address415 W Golf Rd Ste 16Arlington Heights, IL 60005-3923 · (847) 577-0904
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 30, 2005
Last NPPES UpdateMay 9, 20224 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1437156999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IL · 071006408
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20041718 (IN), 071006408 (IL)
415 W GOLF RD STE 16, Arlington Heights, IL 60005

Secondary Practice Location 1

Location 14306 E State BlvdFort Wayne, IN 46815-6915 · Phone (260) 460-3203 · Fax (260) 460-3204

Other Identifiers 2

Medicaid200406360IN
Other680015841IN · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter A Dodzik Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224110275
PECOS Enrollment IDI20120423000225
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Dodzik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
415 W GOLF RD STE 16
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
Clinical Neuropsychologist
4306 E STATE BLVD
Fort Wayne, IN 46815
  • Reassigned Medicare billing, Indiana enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
84 services30 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
68 services26 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
30 services30 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005
Counselor (Mental Health)
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005
Psychologist (Clinical)
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005
Behavior Analyst
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005
Psychologist (Clinical)
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005
Behavior Analyst
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005
Psychologist (Clinical Child & Adolescent)
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005
Counselor (Professional)
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 60005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Dodzik's NPI number?

The NPI number for Peter Dodzik is 1437156999. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Peter Dodzik located?

Peter Dodzik practices at 415 W Golf Rd Ste 16, Arlington Heights, IL 60005. The listed phone number is (847) 577-0904.

What is Peter Dodzik's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Peter Dodzik enrolled in Medicare?

Yes. Peter Dodzik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peter Dodzik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Dodzik reassigns Medicare benefits to 2 organizations: Northwest Behavioral Health Services, PC (Arlington Heights, IL) and Fort Wayne Neuropsychology LLC (Fort Wayne, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Dodzik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Dodzik accept?

Health plans from Ambetter Health and UnitedHealthcare list Peter Dodzik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Dodzik affiliated with any hospitals?

According to CMS data, Peter Dodzik is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Peter Dodzik was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.