DR. DIANA F. MERCER PH.D.
NPI 1245387430
Psychologist in Chicago, IL

Active since January 03, 2007Opted out of Medicare · through Apr 1, 2028
4801 W PETERSON AVE, SUITE 612, CHICAGO, IL 60646(773) 774-0180(773) 777-5140 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Diana F. Mercer Ph.d. NPPES

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

DR. DIANA F. MERCER PH.D. (NPI 1245387430) is an individual psychologist in Chicago, Illinois and active in the NPI registry since January 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245387430
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DIANA F. MERCERCredential: PH.D.
Location Address4801 W PETERSON AVE, SUITE 612Chicago, IL 60646-5713
Mailing Address4801 W Peterson Ave, Suite 612Chicago, IL 60646-5713 · (773) 774-0180 · Fax (773) 777-5140
Fax(773) 777-5140
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1245387430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

4801 W PETERSON AVE, Chicago, IL 60646

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Diana F. Mercer Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Specialist
4801 W PETERSON AVE, STE 506
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, SUITE 314
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, SUITE 402
CHICAGO, IL 60646
Psychologist (Clinical)
4801 W PETERSON AVE, 403
CHICAGO, IL 60646
Internal Medicine
4801 W PETERSON AVE, #600
CHICAGO, IL 60646
Dentist
4801 W PETERSON AVE, SUITE 550
CHICAGO, IL 60646
Psychologist (Clinical)
4801 W PETERSON AVE, SUITE 612
CHICAGO, IL 60646
Clinic/Center (Dental)
4801 W PETERSON AVE, SUITE 312
CHICAGO, IL 60646

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 Diana Mercer's NPI number?

The NPI number for Diana Mercer is 1245387430. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Diana Mercer located?

Diana Mercer practices at 4801 W Peterson Ave Suite 612, Chicago, IL 60646. The listed phone number is (773) 774-0180.

What is Diana Mercer's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Diana Mercer enrolled in Medicare?

No. Diana Mercer has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Diana Mercer was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.