DR. GRETCHEN L. DONINGER PH.D.
NPI 1093987604
Psychologist - Counseling in Chicago, IL
NPI Status: Active since March 24, 2008
Contact Information
211 E ONTARIO ST STE 1195
CHICAGO, IL
ZIP 60611
Phone: (312) 640-7735
Fax: (312) 988-9363
- Individual
- Female
- Psychologist
- Counseling
- PECOS Enrolled
- Opted-Out Medicare
About GRETCHEN DONINGER
This page provides the complete NPI Profile along with additional information for Gretchen Doninger, a provider established in Chicago, Illinois with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1093987604 assigned on March 2008. The practitioner's primary taxonomy code is 103TC1900X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1093987604
- Provider Name
- DR. GRETCHEN L. DONINGER PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 211 E ONTARIO ST STE 1195 CHICAGO, IL 60611
- Location Phone
- (312) 640-7735
- Location Fax
- (312) 988-9363
- Mailing Address
- 211 E ONTARIO ST STE 1195 CHICAGO, IL 60611
- Mailing Phone
- (312) 640-7735
- Mailing Fax
- (312) 988-9363
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-24-2008
- Last Update Date
- 03-24-2008
- Code Navigator
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. Gretchen Doninger opted out of Medicare effective on 04-05-2019 until 04-05-2027. 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 but is permitted to order and refer services to other healthcare providers.
Location Map
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 Counseling
- Taxonomy Code
- 103TC1900X
- Type
- Behavioral Health & Social Service Providers
- License State
- IL
- Taxonomy Description
- A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
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) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | (IL) |
| 2 | 103TH0004X | Behavioral Health & Social Service Providers | Psychologist | (IL) |
Medicare Participation & PECOS Enrollment Status
Gretchen Doninger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-05-2019
Opt-Out End Date: 04-05-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093987604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093987604, enumerated as an "individual" on March 24, 2008.
The provider is located at 211 E ONTARIO ST STE 1195 CHICAGO, IL 60611 and the phone number is (312) 640-7735.
Psychologist with taxonomy code 103TC1900X and a focus in Counseling.
