JENNIFER LYNN PELLICANO PSYD
NPI 1225426570
Psychologist - Clinical in Sandwich, IL

Active since January 08, 2015PECOS EnrolledAccepts Medicare Assignment
207 E CHURCH ST, SUITE A, SANDWICH, IL 60548(815) 786-8606(815) 786-1541 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Lynn Pellicano Psyd NPPES

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

JENNIFER LYNN PELLICANO PSYD (NPI 1225426570) is an individual clinical provider in Sandwich, Illinois, licensed in Illinois (071008942) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1225426570
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER LYNN PELLICANOCredential: PSYD
Location Address207 E CHURCH ST, SUITE ASandwich, IL 60548-9803
Mailing Address1120 E Main St, Suite 201St Charles, IL 60174-2287 · (630) 377-6613 · Fax (630) 377-6225
Fax(815) 786-1541
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 8, 2015
Last NPPES UpdateMarch 13, 2017
NPI 1225426570 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 · 071008942
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.

207 E CHURCH ST, Sandwich, IL 60548

Other Identifiers 1

Medicare PINF400201117IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lynn Pellicano Psyd 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.

PECOS PAC ID4183941339
PECOS Enrollment IDI20150326001701
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60548 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
207 E CHURCH ST
SANDWICH, IL 60548
Social Worker (Clinical)
207 E CHURCH ST, SUITE A
SANDWICH, IL 60548
Social Worker (Clinical)
207 E CHURCH ST, SUITE A
SANDWICH, IL 60548
Specialist
207 E CHURCH ST, SUITE A
SANDWICH, IL 60548
Counselor (Mental Health)
207 E CHURCH ST
SANDWICH, IL 60548

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 Jennifer Pellicano's NPI number?

The NPI number for Jennifer Pellicano is 1225426570. It was assigned to this individual provider in the NPPES registry on January 8, 2015.

Where is Jennifer Pellicano located?

Jennifer Pellicano practices at 207 E Church St Suite A, Sandwich, IL 60548. The listed phone number is (815) 786-8606.

What is Jennifer Pellicano's specialty?

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

Is Jennifer Pellicano enrolled in Medicare?

Yes. Jennifer Pellicano 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.

What insurance does Jennifer Pellicano accept?

Health plans from Providence Health Plan list Jennifer Pellicano 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 Jennifer Pellicano was last updated on March 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.