DR. DANIEL JAMES KOZUBAL (PSYD) – Clinical Psychologist, NPI 1215037502

DR. DANIEL JAMES KOZUBAL (PSYD) is a healthcare provider. based in Aurora, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. 071003041 (IL). The NPI Number for DR. DANIEL JAMES KOZUBAL (PSYD) is 1215037502

Main info

Male
Sole Proprietor
Name
DR. DANIEL JAMES KOZUBAL (PSYD)
NPI
1215037502
Phone
(630) 244-7000
Address
412 NORTH LAKE ST
Enumeration Date
25 September 2006
Last Update Date
6 February 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DANIEL JAMES KOZUBAL (PSYD)

  • 412, North Lake Street, Aurora, Aurora Township, Kane County, Illinois, 60506, United States

    STE 203

    AURORA, IL 60506

    Phone: (630) 244-7000

    Fax: (847) 961-5730

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080222000345IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes22529$0
90834Psychotherapy, 45 minutes12228$0
90791Psychiatric diagnostic evaluation1413$0
View full utilization report →

Insurance plans in this area (ZIP 60506)

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Reviews

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Frequently asked questions

How do I look up DR. DANIEL JAMES KOZUBAL (PSYD) by NPI?
Use NPI 1215037502 when you need to reference DR. DANIEL JAMES KOZUBAL (PSYD) in forms, claims, or directories.
Is DR. DANIEL JAMES KOZUBAL (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. DANIEL JAMES KOZUBAL (PSYD)?
The page reflects Clinical Psychologist for DR. DANIEL JAMES KOZUBAL (PSYD). Clinical services aligned with this taxonomy classification.
Where is DR. DANIEL JAMES KOZUBAL (PSYD)'s primary listing?
We display Aurora, Illinois because that is what the record indicates for DR. DANIEL JAMES KOZUBAL (PSYD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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