MR. STEPHEN JOHN ROECKEMAN PSY.D.
NPI 1669655064
Student in an Organized Health Care Education/Training Program in Wheaton, IL

Active since December 10, 2007PECOS EnrolledAccepts Medicare Assignment
2100 MANCHESTER RD, WHEATON, IL 60187(630) 653-1717 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Stephen John Roeckeman Psy.d. NPPES

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

MR. STEPHEN JOHN ROECKEMAN PSY.D. (NPI 1669655064) is an individual student in an organized health care education/training program in Wheaton, Illinois and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1669655064
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. STEPHEN JOHN ROECKEMANCredential: PSY.D.
Location Address2100 MANCHESTER RDWheaton, IL 60187-4579
Mailing Address851 College AveWheaton, IL 60187-4309 · (217) 898-6773
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 10, 2007
NPI 1669655064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2100 MANCHESTER RD, Wheaton, IL 60187

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Stephen John Roeckeman Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183985468
PECOS Enrollment IDI20180301000601
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.

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.

Counselor (Professional)
2100 MANCHESTER RD, BLDG C STE 1618
WHEATON, IL 60187
Psychiatry & Neurology (Psychiatry)
2100 MANCHESTER RD, SUITE 1510
WHEATON, IL 60187
Counselor (Mental Health)
2100 MANCHESTER RD, SUITE 1510
WHEATON, IL 60187
Social Worker (Clinical)
2100 MANCHESTER RD, SUITE 975
WHEATON, IL 60187
Counselor (Professional)
2100 MANCHESTER RD, SUITE 1510
WHEATON, IL 60187
Social Worker (Clinical)
2100 MANCHESTER RD, SUITE 1510
WHEATON, IL 60187
Community/Behavioral Health
2100 MANCHESTER RD, SUITE 400
WHEATON, IL 60187
Psychologist
2100 MANCHESTER RD
WHEATON, IL 60187

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 Stephen Roeckeman's NPI number?

The NPI number for Stephen Roeckeman is 1669655064. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Stephen Roeckeman located?

Stephen Roeckeman practices at 2100 Manchester Rd, Wheaton, IL 60187. The listed phone number is (630) 653-1717.

What is Stephen Roeckeman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Roeckeman enrolled in Medicare?

Yes. Stephen Roeckeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephen Roeckeman was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.