DR. BRETT W FRY PSY.D.
NPI 1326051012
Psychologist - Clinical in Chicago, IL

Active since August 14, 2006Opted out of Medicare · through Mar 20, 2027
405 N WABASH AVE, SUITE 1815, CHICAGO, IL 60611(773) 573-3612 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Brett W Fry Psy.d. NPPES

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

DR. BRETT W FRY PSY.D. (NPI 1326051012) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since August 2006. He has opted out of Medicare through March 20, 2027.

NPPES Registry Identity

NPI1326051012
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRETT W FRYCredential: PSY.D.
Location Address405 N WABASH AVE, SUITE 1815Chicago, IL 60611-3591
Mailing Address405 N Wabash Ave, Suite 1815Chicago, IL 60611-3591 · (773) 573-3612
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1326051012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
405 N WABASH AVE, Chicago, IL 60611

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. Brett W Fry Psy.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 March 20, 2019 through March 20, 2027.

Opt-Out Effective DateMarch 20, 2019
Opt-Out In Effect ThroughMarch 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Psychologist (Clinical)
405 N WABASH AVE, SUITE 1008
CHICAGO, IL 60611
Counselor (Professional)
405 N WABASH AVE, SUITE 3805
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 4003
CHICAGO, IL 60611
Physical Therapist
405 N WABASH AVE
CHICAGO, IL 60611
Physical Therapist
405 N WABASH AVE
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, #1114
CHICAGO, IL 60611
Psychologist (Counseling)
405 N WABASH AVE, SUITE 4003
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, 2910
CHICAGO, IL 60611

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 Brett Fry's NPI number?

The NPI number for Brett Fry is 1326051012. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Brett Fry located?

Brett Fry practices at 405 N Wabash Ave Suite 1815, Chicago, IL 60611. The listed phone number is (773) 573-3612.

What is Brett Fry's specialty?

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

Is Brett Fry enrolled in Medicare?

No. Brett Fry has opted out of Medicare through March 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brett Fry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.