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MR. DAVID A. PRIDDY PHD
NPI 1669416749
Psychologist - Rehabilitation in Galesburg, IL

Active since June 16, 2006PECOS Enrolled
575 N KELLOGG ST STE 4, GALESBURG, IL 61401(309) 343-0800(309) 343-0802 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2020, Jul 29, 2020 (2 updates tracked since 2020).

About Mr. David A. Priddy Phd NPPES

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

MR. DAVID A. PRIDDY PHD (NPI 1669416749) is an individual rehabilitation provider in Galesburg, Illinois, licensed in Illinois (071-003839) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669416749
Entity TypeIndividualMale
Primary Taxonomy103TR0400X
Provider Legal NameMR. DAVID A. PRIDDYCredential: PHD
Location Address575 N KELLOGG ST STE 4Galesburg, IL 61401-7609
Mailing Address575 N Kellogg St Ste 4Galesburg, IL 61401-7609 · (309) 343-0800 · Fax (309) 343-0802
Phone(309) 343-0800
Fax(309) 343-0802
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1669416749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
License✔ Licensed in IL · 071-003839
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
575 N KELLOGG ST STE 4, Galesburg, IL 61401
Open in Google Maps ↗

Other Identifiers 1

Other013154IL · Health Alliance Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David A. Priddy 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 David Priddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crossroads Counseling And Life Coaching LLC
Same address
Professional
575 N KELLOGG ST, SUITE 4
Galesburg, IL 61401
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1255593315 (309) 343-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
17 services13 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
13 services13 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
13 services13 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
12 services12 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
12 services12 patients

Other Providers at the Same Location NPPES 4

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

KARLEY DIVAN MA, LPC
Counselor (Professional)
575 N KELLOGG ST STE 4
GALESBURG, IL 61401
Knox County (309) 343-0800
REBECCA ANNE HARRELL I LCPC
Social Worker (Clinical)
575 N KELLOGG ST STE 4
GALESBURG, IL 61401
Knox County (309) 343-0800
CONSTANCE BRACEY LCP
Counselor (Professional)
575 N KELLOGG ST STE 4
GALESBURG, IL 61401
Knox County (309) 343-0800
CARRIE EDWARDS
Psychologist (School)
575 N KELLOGG ST STE 4
GALESBURG, IL 61401
Knox County (309) 343-0800

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 David Priddy's NPI number?

The NPI number for David Priddy is 1669416749. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is David Priddy located?

David Priddy practices at 575 N Kellogg St Ste 4, Galesburg, IL 61401. The listed phone number is (309) 343-0800.

What is David Priddy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Is David Priddy enrolled in Medicare?

Yes. David Priddy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Priddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Priddy reassigns Medicare benefits to Crossroads Counseling And Life Coaching LLC (Galesburg, IL). 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 David Priddy'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 David Priddy was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.