DR. MITCHELL WAYNE HICKS PHD, ABPP
NPI 1093790776
Psychologist - Clinical in Arlington Heights, IL
About Dr. Mitchell Wayne Hicks Phd, Abpp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITCHELL WAYNE HICKS PHD, ABPP (NPI 1093790776) is an individual clinical provider in Arlington Heights, Illinois, licensed in Illinois (071-006835) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
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. Mitchell Wayne Hicks Phd, Abpp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mitchell Hicks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington Heights, IL 60004
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Jamestown, ND 58401
- Reassigned Medicare billing, North Dakota enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARLINGTON HEIGHTS, IL 60004
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 Mitchell Hicks's NPI number?
The NPI number for Mitchell Hicks is 1093790776. It was assigned to this individual provider in the NPPES registry on December 14, 2005.
Where is Mitchell Hicks located?
Mitchell Hicks practices at 3411 N Kennicott Ave Ste C, Arlington Heights, IL 60004. The listed phone number is (630) 849-8275.
What is Mitchell Hicks's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mitchell Hicks enrolled in Medicare?
Yes. Mitchell Hicks 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 organizations bill Medicare for Mitchell Hicks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Hicks reassigns Medicare benefits to 2 organizations: Crosswinds Center For Personal And Professional Development, PLLC (Arlington Heights, IL) and North Dakota State Hospital (Jamestown, ND). Each 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 Mitchell Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitchell Hicks accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mitchell Hicks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mitchell Hicks was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Mitchell Wayne Hicks, PHD, ABPP · NPI 1093790776
Clinical provider in Arlington Heights, Illinois. Individual provider, active in the CMS NPPES registry since December 14, 2005.
## Identity
- **NPI:** 1093790776 (Entity type: Individual)
- **Enumerated:** December 14, 2005
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071-006835 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3411 N KENNICOTT AVE STE C, Arlington Heights, IL 60004-7813
- **Phone:** (630) 849-8275 · **Fax:** (224) 345-2118
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Crosswinds Center For Personal And Professional Development, PLLC (NPI 1811412166, Arlington Heights, IL); North Dakota State Hospital (NPI 1649227075, Jamestown, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** March 8, 2011
- **Other identifiers:** Medicare PIN 2925 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1093790776) · Data from the CMS NPPES public registry.