FRASER VASELAKOS & ASSOCIATES, PC
NPI 1821168162
Psychologist - Clinical in Homer Glen, IL

Active since November 08, 2006
12627 W 143RD ST, HOMER GLEN, IL 60491(708) 645-0798(708) 645-0841 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fraser Vaselakos & Associates, Pc NPPES

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

FRASER VASELAKOS & ASSOCIATES, PC (NPI 1821168162) is a healthcare organization registered as a clinical in Homer Glen, Illinois and active in the NPI registry since November 2006. The organization lists M. Denise Fraser Vaselakos, Owner, as its authorized official.

NPPES Registry Identity

NPI1821168162
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameFRASER VASELAKOS & ASSOCIATES, PC
Location Address12627 W 143RD STHomer Glen, IL 60491-8381
Mailing Address12627 W 143rd StHomer Glen, IL 60491-8381 · (708) 645-0798 · Fax (708) 645-0841
Fax(708) 645-0841
Organization SubpartNo
Authorized OfficialM. Denise Fraser VaselakosOwner · (708) 645-0798
Enumeration DateNovember 8, 2006
Last NPPES UpdateJune 19, 2008
✔ NPI 1821168162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071004958
Definition
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.
12627 W 143RD ST, Homer Glen, IL 60491

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fraser Vaselakos & Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fraser Vaselakos & Associates, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1982872594
12627 W 143RD ST
Homer Glen, IL 60491
(708) 645-0798
✔ PECOS✔ Accepts MedicareSame address

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

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 Fraser Vaselakos & Associates, PC's NPI number?

The NPI number for Fraser Vaselakos & Associates, PC is 1821168162. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Fraser Vaselakos & Associates, PC located?

Fraser Vaselakos & Associates, PC is located at 12627 W 143rd St, Homer Glen, IL 60491. The listed phone number is (708) 645-0798.

What is Fraser Vaselakos & Associates, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Fraser Vaselakos & Associates, PC enrolled in Medicare?

Yes. Fraser Vaselakos & Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fraser Vaselakos & Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Fraser Vaselakos & Associates, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fraser Vaselakos & Associates, PC was last updated on June 19, 2008. 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.