DR. MICHAEL EDWIN BRICKER PH.D., LCP
NPI 1336305671
Psychologist - Clinical in Chicago, IL
About Dr. Michael Edwin Bricker Ph.d., Lcp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL EDWIN BRICKER PH.D., LCP (NPI 1336305671) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.007755) and active in the NPI registry since August 2008. He has opted out of Medicare through June 28, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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. Michael Edwin Bricker Ph.d., Lcp 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 June 28, 2016 through June 28, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60613
CHICAGO, IL 60613
CHICAGO, IL 60613
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 Michael Bricker's NPI number?
The NPI number for Michael Bricker is 1336305671. It was assigned to this individual provider in the NPPES registry on August 6, 2008.
Where is Michael Bricker located?
Michael Bricker practices at 655 W Irving Park Rd Suite 201, Chicago, IL 60613. The listed phone number is (773) 527-1304.
What is Michael Bricker's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Michael Bricker enrolled in Medicare?
No. Michael Bricker has opted out of Medicare through June 28, 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 Michael Bricker was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Michael Edwin Bricker, PH.D., LCP · NPI 1336305671
Clinical provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 6, 2008.
## Identity
- **NPI:** 1336305671 (Entity type: Individual)
- **Enumerated:** August 6, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071.007755 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 W IRVING PARK RD, SUITE 201, Chicago, IL 60613-3123
- **Phone:** (773) 527-1304
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 28, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 3, 2009
---
Source: [NPI Profile](https://npiprofile.com/npi/1336305671) · Data from the CMS NPPES public registry.