DR. CONSTANCE ANITA FULLILOVE PH.D.
NPI 1235209529
Psychologist - Clinical in Chicago, IL

Q: What is Constance Fullilove's NPI number?

The NPI number for Constance Fullilove is 1235209529. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Constance Fullilove's specialty?

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

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment

205 W RANDOLPH ST STE 830, CHICAGO, IL 60606(312) 236-1498 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Constance Anita Fullilove Ph.d. NPPES

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

DR. CONSTANCE ANITA FULLILOVE PH.D. (NPI 1235209529) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071-002239) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1235209529

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CONSTANCE ANITA FULLILOVECredential: PH.D.

Location Address205 W RANDOLPH ST STE 830Chicago, IL 60606-1815

Mailing Address205 W Randolph St Ste 830Chicago, IL 60606-1815 · (312) 236-1498

Phone(312) 236-1498

Sole ProprietorYes

Medical School CMSOtherGraduated 1977

Enumeration DateNovember 8, 2006

Last NPPES UpdateApril 23, 2021

NPPES CertifiedApril 23, 2021

✔ NPI 1235209529 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 · 071-002239

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.

205 W RANDOLPH ST STE 830, Chicago, IL 60606

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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. Constance Anita Fullilove Ph.d. 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 ID4880772482

PECOS Enrollment IDI20080423000172

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.

Medicare Billing Reassignment

Medicare enrollment records show Constance Fullilove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Constance Fullilove, Ph.D., Ltd.

Same address

Clinical

205 W RANDOLPH ST, SUITE 830
Chicago, IL 60606

Reassigned Medicare billing, Illinois enrollment

NPI 1851441984 (312) 560-1808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60606 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 2

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

CENTER FOR APPLIED PSYCHOLOGY AND FORENSIC STUDIES

Psychologist (Clinical)

205 W RANDOLPH ST STE 830
CHICAGO, IL 60606

Cook County (312) 236-1498

MARVA PHYLLIS DAWKINS PH.D.

Psychologist (Clinical)

205 W RANDOLPH ST STE 830
CHICAGO, IL 60606

Cook County (312) 236-1498

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 Constance Fullilove's NPI number?

The NPI number for Constance Fullilove is 1235209529. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Constance Fullilove located?

Constance Fullilove practices at 205 W Randolph St Ste 830, Chicago, IL 60606. The listed phone number is (312) 236-1498.

What is Constance Fullilove's specialty?

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

Is Constance Fullilove enrolled in Medicare?

Yes. Constance Fullilove 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 organization bills Medicare for Constance Fullilove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constance Fullilove reassigns Medicare benefits to Constance Fullilove, Ph.D., Ltd. (Chicago, IL). The 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 Constance Fullilove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Constance Fullilove was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.