VICKI L LANE PHD
NPI 1265509897
Psychologist in Chandler, AZ

Active since November 29, 2006PECOS Enrolled
1600 W CHANDLER BLVD STE 110, CHANDLER, AZ 85224(415) 296-5290(415) 296-5299 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Dec 16, 2021 (2 updates tracked since 2021).

About Vicki L Lane Phd NPPES

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

VICKI L LANE PHD (NPI 1265509897) is an individual psychologist in Chandler, Arizona, licensed in Arizona (PSY-005255) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1265509897
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameVICKI L LANECredential: PHD
Location Address1600 W CHANDLER BLVD STE 110Chandler, AZ 85224-6100
Mailing Address7300 E Indiana St Ste 103Evansville, IN 47715-7448 · (812) 473-0181 · Fax (812) 473-5822
Fax(415) 296-5299
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1265509897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in AZ · PSY-005255✔ Licensed in IN · 20040842A
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.
1600 W CHANDLER BLVD STE 110, Chandler, AZ 85224

Secondary Practice Location 1

Location 17300 E Indiana St Ste 103Evansville, IN 47715-7448 · Phone (812) 473-0181 · Fax (812) 473-5822

Other Identifiers 2

Other000000247634IN · Anthem
Medicaid100437960IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vicki L Lane Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Vicki Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
7300 E INDIANA ST, SUITE 103
Evansville, IN 47715
  • Reassigned Medicare billing, Indiana enrollment
  • 165 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.

Other Providers at the Same Location NPPES 6

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

Psychologist (Clinical)
1600 W CHANDLER BLVD STE 110
CHANDLER, AZ 85224
Psychologist (Clinical)
1600 W CHANDLER BLVD STE 110
CHANDLER, AZ 85224
Internal Medicine
1600 W CHANDLER BLVD STE 110
CHANDLER, AZ 85224
Psychiatry & Neurology (Psychiatry)
1600 W CHANDLER BLVD STE 110
CHANDLER, AZ 85224
Internal Medicine (Infectious Disease)
1600 W CHANDLER BLVD STE 110
CHANDLER, AZ 85224
Internal Medicine
1600 W CHANDLER BLVD STE 110
CHANDLER, AZ 85224

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 Vicki Lane's NPI number?

The NPI number for Vicki Lane is 1265509897. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Vicki Lane located?

Vicki Lane practices at 1600 W Chandler Blvd Ste 110, Chandler, AZ 85224. The listed phone number is (415) 296-5290.

What is Vicki Lane's specialty?

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

Is Vicki Lane enrolled in Medicare?

Yes. Vicki Lane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vicki Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Lane reassigns Medicare benefits to Midwest Behavioral Health LLC (Evansville, IN). 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 Vicki Lane'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 Vicki Lane was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.