DR. SCOTT DAVID PYTLUK PH.D.
NPI 1497767669
Psychologist in Chicago, IL

Active since August 13, 2006Opted out of Medicare · through Mar 21, 2027
30 N MICHIGAN AVE, SUITE #1510, CHICAGO, IL 60602(312) 364-9965 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott David Pytluk Ph.d. NPPES

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

DR. SCOTT DAVID PYTLUK PH.D. (NPI 1497767669) is an individual psychologist in Chicago, Illinois, licensed in Illinois (071005952) and active in the NPI registry since August 2006. He has opted out of Medicare through March 21, 2027.

NPPES Registry Identity

NPI1497767669
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SCOTT DAVID PYTLUKCredential: PH.D.
Location Address30 N MICHIGAN AVE, SUITE #1510Chicago, IL 60602-3402
Mailing Address30 N Michigan Ave Ste 1022Chicago, IL 60602-3758 · (312) 364-9965
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateNovember 9, 2021
NPPES CertifiedNovember 9, 2021
NPI 1497767669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071005952
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 071005952 (IL)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071005952 (IL)
30 N MICHIGAN AVE, Chicago, IL 60602

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. Scott David Pytluk 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 March 21, 2023 through March 21, 2027.

Opt-Out Effective DateMarch 21, 2023
Opt-Out In Effect ThroughMarch 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602
Allergy & Immunology
30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602
Social Worker (Clinical)
30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602

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 Scott Pytluk's NPI number?

The NPI number for Scott Pytluk is 1497767669. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Scott Pytluk located?

Scott Pytluk practices at 30 N Michigan Ave Suite #1510, Chicago, IL 60602. The listed phone number is (312) 364-9965.

What is Scott Pytluk's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Scott Pytluk enrolled in Medicare?

No. Scott Pytluk has opted out of Medicare through March 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Scott Pytluk was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.