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DR. COLIN A. BRIETZKE PSY. D.
NPI 1558626267
Clinical Neuropsychologist in Oak Park, IL

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
1011 LAKE ST STE 200, OAK PARK, IL 60301(708) 320-1441 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Jun 23, 2021 (2 updates tracked since 2021).

About Dr. Colin A. Brietzke Psy. D. NPPES

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

DR. COLIN A. BRIETZKE PSY. D. (NPI 1558626267) is an individual clinical neuropsychologist in Oak Park, Illinois, licensed in Illinois (071.008376) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1558626267
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. COLIN A. BRIETZKECredential: PSY. D.
Location Address1011 LAKE ST STE 200Oak Park, IL 60301-1137
Mailing Address1011 Lake St Ste 200Oak Park, IL 60301-1137 · (708) 320-1411 · Fax (708) 328-3560
Phone(708) 320-1441
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 9, 2012
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1558626267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IL · 071.008376
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 071008376 (IL)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 071008376 (IL)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 071.008376 (IL)
1011 LAKE ST STE 200, Oak Park, IL 60301
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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

Dr. Colin A. Brietzke 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 ID749586428
PECOS Enrollment IDI20160307000512
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 Reassignment

Medicare enrollment records show Colin Brietzke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chicagoland Neuropsychology LLC
0.1 mi
Clinical Neuropsychologist
101 N MARION ST, STE 313
Oak Park, IL 60301
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1275946048 (773) 931-3439

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

Other Providers at the Same Location NPPES 4

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

KAILEY OLZACK
Psychologist (Clinical Child & Adolescent)
1011 LAKE ST STE 200, 200
OAK PARK, IL 60301
Cook County (708) 232-3375
AYESHA ARORA PSYD
Psychologist
1011 LAKE ST STE 200
OAK PARK, IL 60301
Cook County (708) 320-1441
ERIN ORENTAS PSYD
Psychologist (Clinical)
1011 LAKE ST STE 200
OAK PARK, IL 60301
Cook County (708) 320-1441
LISA BUCKLEY LCSW
Social Worker (Clinical)
1011 LAKE ST STE 200
OAK PARK, IL 60301
Cook County (708) 320-1441

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 Colin Brietzke's NPI number?

The NPI number for Colin Brietzke is 1558626267. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Colin Brietzke located?

Colin Brietzke practices at 1011 Lake St Ste 200, Oak Park, IL 60301. The listed phone number is (708) 320-1441.

What is Colin Brietzke's specialty?

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

Is Colin Brietzke enrolled in Medicare?

Yes. Colin Brietzke 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 organization bills Medicare for Colin Brietzke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colin Brietzke reassigns Medicare benefits to Chicagoland Neuropsychology LLC (Oak Park, IL). The 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 Colin Brietzke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colin Brietzke was last updated on May 7, 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.