FJ PSYCHOLOGICAL SERVICES
NPI 1730606575
Psychologist - Clinical in Volo, IL
About Fj Psychological Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FJ PSYCHOLOGICAL SERVICES (NPI 1730606575) is a healthcare organization registered as a clinical in Volo, Illinois and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through February 6, 2028, maintains a secondary practice location in Mchenry, and lists Melissa Folk-jednoroz, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fj Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fj Psychological Services, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2251916
Fj Psychological Services · Mchenry, ILFrequently 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 Fj Psychological Services's NPI number?
The NPI number for Fj Psychological Services is 1730606575. It was assigned to this organization in the NPPES registry on August 23, 2017.
Where is Fj Psychological Services located?
Fj Psychological Services is located at 1127 Adagio Dr, Volo, IL 60073. The listed phone number is (224) 587-9128.
What is Fj Psychological Services's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Fj Psychological Services enrolled in Medicare?
Yes. Fj Psychological Services is registered in the Medicare PECOS enrollment system.
When is Fj Psychological Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fj Psychological Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fj Psychological Services, in Nurse Practitioner and Psychologist Billing Independently. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fj Psychological Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2251916) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fj Psychological Services was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Fj Psychological Services · NPI 1730606575
Clinical organization in Volo, Illinois. Organization record, active in the CMS NPPES registry since August 23, 2017.
## Identity
- **NPI:** 1730606575 (Entity type: Organization)
- **Enumerated:** August 23, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Melissa Folk-Jednoroz, OWNER/THERAPIST
## Practice location
- **Address:** 1127 ADAGIO DR, Volo, IL 60073-5908
- **Phone:** (224) 587-9128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychologist Billing Independently (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730606575) · Data from the CMS NPPES public registry.