REGINALD DELEON PACHECO
NPI 1689162901
Psychologist in Park Ridge, IL

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
32 MAIN ST STE D, PARK RIDGE, IL 60068(847) 823-4444 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2018, Apr 23, 2018 (2 updates tracked since 2018).

About Reginald Deleon Pacheco NPPES

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

REGINALD DELEON PACHECO (NPI 1689162901) is an individual psychologist in Park Ridge, Illinois and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lafayette, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689162901
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameREGINALD DELEON PACHECO
Location Address32 MAIN ST STE DPark Ridge, IL 60068
Mailing Address6050 N Francisco Ave Apt GeChicago, IL 60659-2524 · (630) 408-3672
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration
NPI 1689162901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
32 MAIN ST STE D, Park Ridge, IL 60068

Secondary Practice Location 1

Location 1415 N 26th StLafayette, IN 47904-2895 · Phone (765) 446-6400

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

Reginald Deleon Pacheco 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 ID8426485004
PECOS Enrollment IDI20200220000131
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 6

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

Behavior Analyst
32 MAIN ST STE D
PARK RIDGE, IL 60068
Student in an Organized Health Care Education/Training Program
32 MAIN ST STE D
PARK RIDGE, IL 60068
Psychologist (Clinical)
32 MAIN ST STE D
PARK RIDGE, IL 60068
Counselor (Professional)
32 MAIN ST STE D
PARK RIDGE, IL 60068
Counselor (Professional)
32 MAIN ST STE D
PARK RIDGE, IL 60068
Psychologist
32 MAIN ST STE D
PARK RIDGE, IL 60068

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 Reginald Pacheco's NPI number?

The NPI number for Reginald Pacheco is 1689162901. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Reginald Pacheco located?

Reginald Pacheco practices at 32 Main St Ste D, Park Ridge, IL 60068. The listed phone number is (847) 823-4444.

What is Reginald Pacheco's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Reginald Pacheco enrolled in Medicare?

Yes. Reginald Pacheco 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 Reginald Pacheco was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.