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PAOULA JEDZINIAK PSYD
NPI 1962928259
Psychologist - Clinical in Wheaton, IL

Active since August 17, 2017PECOS Enrolled
26W171 ROOSEVELT RD, WHEATON, IL 60187(630) 909-7000(630) 909-7002 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, Sep 19, 2022, Aug 17, 2017 (3 updates tracked since 2017).

About Paoula Jedziniak Psyd NPPES

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

PAOULA JEDZINIAK PSYD (NPI 1962928259) is an individual clinical provider in Wheaton, Illinois, licensed in Illinois (071010818) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1962928259
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePAOULA JEDZINIAKCredential: PSYD
Location Address26W171 ROOSEVELT RDWheaton, IL 60187-6002
Mailing Address26w171 Roosevelt RdWheaton, IL 60187-6002 · (630) 909-7000 · Fax (630) 909-7002
Phone(630) 909-7000
Fax(630) 909-7002
Sole ProprietorYes
Enumeration DateAugust 17, 2017
Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1962928259 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 · 071010818
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.
26W171 ROOSEVELT RD, Wheaton, IL 60187
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Other Names 1

Former Name (1)Paoula Dyanova Psyd

Secondary Practice Location 1

Location 11675 Dempster StPark Ridge, IL 60068-1110 · Phone (773) 296-7688

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paoula Jedziniak Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Paoula Jedziniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Dupage Physician Group
2.6 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NEETU CHHABLANI M.D.
Rehabilitation Practitioner
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 909-7000
JAKE KAWASAKI
Physical Medicine & Rehabilitation
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 909-8000
REHABILITATION MEDICINE CLINIC, INC.
Clinic/Center (Multi-Specialty)
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 588-7891
KRISTINA INDIRA MIDHA APRN
Nurse Practitioner
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 909-7000
DR. ISHAAN HUBLIKAR DO
Physical Medicine & Rehabilitation
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 909-7000
JACLYN A BERLINO MOT, OTR/L
Occupational Therapist
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 909-7150
BETH E BOSAK OTR/L
Occupational Therapist
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 909-7150
REHABILITATION MEDICINE CLINIC, INC.
Rehabilitation Practitioner
26W171 ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 909-7350

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 Paoula Jedziniak's NPI number?

The NPI number for Paoula Jedziniak is 1962928259. It was assigned to this individual provider in the NPPES registry on August 17, 2017. The provider is also known as Paoula Dyanova Psyd.

Where is Paoula Jedziniak located?

Paoula Jedziniak practices at 26w171 Roosevelt Rd, Wheaton, IL 60187. The listed phone number is (630) 909-7000.

What is Paoula Jedziniak's specialty?

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

Is Paoula Jedziniak enrolled in Medicare?

Yes. Paoula Jedziniak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paoula Jedziniak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paoula Jedziniak reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, 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 Paoula Jedziniak'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 Paoula Jedziniak was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.