THANE DYKSTRA PH.D.
NPI 1619174943
Psychologist - Clinical in Lockport, IL

Active since June 29, 2007
18100 W OAK AVE, LOCKPORT, IL 60441(815) 723-4894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thane Dykstra Ph.d. NPPES

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

THANE DYKSTRA PH.D. (NPI 1619174943) is an individual clinical provider in Lockport, Illinois, licensed in Illinois (71005980) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1619174943
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTHANE DYKSTRACredential: PH.D.
Location Address18100 W OAK AVELockport, IL 60441-6125
Mailing Address2458 Erskine RdJoliet, IL 60433-1612
Sole ProprietorYes
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1619174943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 71005980
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.
18100 W OAK AVE, Lockport, IL 60441

Other Providers at the Same Location NPPES 9

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

Psychologist (Clinical)
18100 W OAK AVE
LOCKPORT, IL 60441
Counselor (Professional)
18100 W OAK AVE
LOCKPORT, IL 60441
Counselor (Professional)
18100 W OAK AVE
LOCKPORT, IL 60441
Clinic/Center (Mental Health (Including Community Mental Health Center))
18100 W OAK AVE
LOCKPORT, IL 60441
Counselor (Mental Health)
18100 W OAK AVE
LOCKPORT, IL 60441
Social Worker
18100 W OAK AVE
LOCKPORT, IL 60441
Counselor (Mental Health)
18100 W OAK AVE
LOCKPORT, IL 60441
Counselor (Mental Health)
18100 W OAK AVE
LOCKPORT, IL 60441

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 Thane Dykstra's NPI number?

The NPI number for Thane Dykstra is 1619174943. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Thane Dykstra located?

Thane Dykstra practices at 18100 W Oak Ave, Lockport, IL 60441. The listed phone number is (815) 723-4894.

What is Thane Dykstra's specialty?

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

When was this NPI record last updated?

The NPPES record for Thane Dykstra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.