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: July 19, 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, #4003
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 2910
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
405 N WABASH AVE, STE 2808
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
405 N WABASH AVE, 3805
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 4507
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 1606
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 2103
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 606
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326051012, enumerated as an "individual" on August 14, 2006.

The provider is located at 405 N WABASH AVE SUITE 1815 CHICAGO, IL 60611 and the phone number is (773) 573-3612.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.