DR. REBEKAH LEE FULLER FRICKE PSYD
NPI 1568763977
Psychologist - Clinical in Champaign, IL
NPI Status: Active since November 16, 2010
Contact Information
100 N CHESTNUT ST STE 244
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 621-6180
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About REBEKAH FULLER FRICKE
This page provides the complete NPI Profile along with additional information for Rebekah Fuller Fricke, a provider established in Champaign, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1568763977 assigned on November 2010. The practitioner's primary taxonomy code is 103TC0700X with license number 071008014 (IL). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1568763977
- Provider Name
- DR. REBEKAH LEE FULLER FRICKE PSYD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 N CHESTNUT ST STE 244 CHAMPAIGN, IL 61820
- Location Phone
- (217) 621-6180
- Mailing Address
- PO BOX 2257 CHESTERTON, IN 46304
- Mailing Phone
- (219) 926-8320
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-16-2010
- Last Update Date
- 09-08-2016
- Code Navigator
A clinical psychologist like Rebekah Fuller Fricke assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rebekah Fuller Fricke opted out of Medicare effective on 07-14-2020 until 07-14-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 071008014
- License State
- IL
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-14-2020
Opt-Out End Date: 07-14-2026
Eligible to Order and Refer? No
Reviews for DR. REBEKAH LEE FULLER FRICKE PSYD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 7 | 6 | 3 | 9 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 14 | 6 | 6 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 4 + 6 + 6 + 9 + 1 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1568763977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
ROBYN LATRICE GOBIN PH.D.
Psychologist
100 N CHESTNUT ST STE 244
CHAMPAIGN, IL
ZIP 61820
SHARON GRIFFIN PH.D.
Psychologist
(Clinical)
100 N CHESTNUT ST STE 244
CHAMPAIGN, IL
ZIP 61820
CODY S LEWIS COUNSELING LTD
Social Worker
(Clinical)
100 N CHESTNUT ST STE 244
CHAMPAIGN, IL
ZIP 61820
TAYLOR LINDBOM PSYD
Psychologist
(Clinical)
100 N CHESTNUT ST STE 244
CHAMPAIGN, IL
ZIP 61820
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568763977, enumerated as an "individual" on November 16, 2010.
The provider is located at 100 N CHESTNUT ST STE 244 CHAMPAIGN, IL 61820 and the phone number is (217) 621-6180.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
