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

NPI Status: Active since August 13, 2006

Contact Information

30 N MICHIGAN AVE
SUITE #1510
CHICAGO, IL
ZIP 60602
Phone: (312) 364-9965

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  • Individual
  • Male
  • Psychologist
  • Opted-Out Medicare

About SCOTT PYTLUK

This page provides the complete NPI Profile along with additional information for Scott Pytluk, a provider established in Chicago, Illinois with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1497767669 assigned on August 2006. The practitioner's primary taxonomy code is 103T00000X with license number 071005952 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1497767669
Provider Name
DR. SCOTT DAVID PYTLUK PH.D.
Gender
Male
Entity Type
Individual
Location Address
30 N MICHIGAN AVE SUITE #1510 CHICAGO, IL 60602
Location Phone
(312) 364-9965
Mailing Address
30 N MICHIGAN AVE STE 1022 CHICAGO, IL 60602
Mailing Phone
(312) 364-9965
Is Sole Proprietor?
Yes
Enumeration Date
08-13-2006
Last Update Date
11-09-2021
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A psychologist like Scott Pytluk studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Scott Pytluk opted out of Medicare effective on 03-21-2023 until 03-21-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
071005952
License State
IL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

071005952 (IL)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

071005952 (IL)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 03-21-2023

  • Opt-Out End Date: 03-21-2027

  • Eligible to Order and Refer? No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497767669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418714614612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 6 + 1 + 4 + 6 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1497767669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629070743DR. KENNETH A KREBS D.M.D.
Individual
Dentist30 N MICHIGAN AVE STE 822
CHICAGO, IL 60602
(312) 332-3937
1679579155 DAVID R. EDELSTEIN M.D.
Individual
Psychiatry & Neurology (Psychiatry)30 N MICHIGAN AVE STE 501
CHICAGO, IL 60602
(312) 332-3699
1457333809DR. AUGUST J CWIK PSY.D.
Individual
Psychologist (Psychoanalysis)30 N MICHIGAN AVE SUITE 1900
CHICAGO, IL 60602
(312) 346-6638
1881677730DR. EDEN TAKHSH MD
Individual
Obstetrics & Gynecology30 N MICHIGAN AVE SUITE 1410
CHICAGO, IL 60602
(312) 726-7272
1306818737MRS. LYNNE MARIE MEYERS-KALISH L.C.P.C.
Individual
Counselor (Professional)30 N MICHIGAN AVE #917
CHICAGO, IL 60602
(312) 849-3990
1871568584 ELIZABETH LOUISE FISK WALSH M.A., L.C.P.C.
Individual
Counselor (Mental Health)30 N MICHIGAN AVE SUITE 1516
CHICAGO, IL 60602
(312) 514-5689
1679542559DR. ROBERT C KISPERT PH.D
Individual
Marriage & Family Therapist30 N MICHIGAN AVE SUITE 1514
CHICAGO, IL 60602
(312) 629-1907
1619939865DR. ELLEN SOMBERG PSY.D.
Individual
Psychologist (Clinical)30 N MICHIGAN AVE SUITE 506
CHICAGO, IL 60602
(312) 346-1354
1235189887DR. BRUCE EDWARD BONECUTTER PHD
Individual
Psychologist (Clinical)30 N MICHIGAN AVE SUITE 1922
CHICAGO, IL 60602
(708) 848-7560
1457307910MAHARUKH E KRAVICH DDS LTD
Organization
Dentist (General Practice)30 N MICHIGAN AVE STE. 1821
CHICAGO, IL 60602
(312) 984-0032
1972547768DR. MARLA J VANNUCCI PH.D.
Individual
Psychologist (Clinical)30 N MICHIGAN AVE SUITE 1212
CHICAGO, IL 60602
(773) 412-0872
1437187689 ALAN M JAFFE PSYD
Individual
Psychologist (Clinical)30 N MICHIGAN AVE SUITE 1206
CHICAGO, IL 60602
(312) 346-2640
1831129170DR. LAWRENCE MARCZAK DPM
Individual
Podiatrist30 N MICHIGAN AVE SUITE 1229
CHICAGO, IL 60602
(312) 332-0041
1154354793MRS. NATALIE K HOLZMAN M.S.W.
Individual
Social Worker (Clinical)30 N MICHIGAN AVE SUITE 1618
CHICAGO, IL 60602
(312) 782-1751
1154330314MS. AVEVA TAMARA YUFIT MA, LCPC
Individual
Counselor (Professional)30 N MICHIGAN AVE SUITE 1819
CHICAGO, IL 60602
(773) 363-2868
1053321836DR. JOHN ARTHUR FRIEDMAN PH.D.
Individual
Psychologist (Clinical)30 N MICHIGAN AVE SUITE 1828
CHICAGO, IL 60602
(312) 750-9064
1760494371 BETTY ANN BURROWS PH.D.
Individual
Psychologist (Clinical)30 N MICHIGAN AVE SUITE 1018
CHICAGO, IL 60602
(847) 509-2729
1497868988MILLENNIUM PARK PSYCHOLOGICAL ASSOCIATES, LLC
Organization
Psychologist (Clinical)30 N MICHIGAN AVE SUITE 1103
CHICAGO, IL 60602
(312) 284-1330
1073616637DR. CHARLES E TURK MD
Individual
Psychiatry & Neurology (Psychiatry)30 N MICHIGAN AVE STE 1909
CHICAGO, IL 60602
(312) 269-9180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497767669, enumerated in the NPI registry as an "individual" on August 13, 2006

The provider is located at 30 N Michigan Ave Suite #1510 Chicago, Il 60602 and the phone number is (312) 364-9965

The provider's speciality is Psychologist with taxonomy code 103T00000X

No, the provider signed an affidavit on March 21, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 21, 2027.

This NPI record was last updated on August 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.