DR. GRACIELA V. ANDRESEN PH.D.
NPI 1851416770
Psychologist in Champaign, IL

Active since March 20, 2007Opted out of Medicare · through Jan 1, 2028
1701 S PROSPECT AVE, SUITE 202, CHAMPAIGN, IL 61820(217) 352-9207(217) 352-5842 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Graciela V. Andresen Ph.d. NPPES

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

DR. GRACIELA V. ANDRESEN PH.D. (NPI 1851416770) is an individual psychologist in Champaign, Illinois and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1851416770
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. GRACIELA V. ANDRESENCredential: PH.D.
Location Address1701 S PROSPECT AVE, SUITE 202Champaign, IL 61820-7050
Mailing Address1701 S Prospect Ave, Suite 202Champaign, IL 61820-7050 · (217) 352-9207 · Fax (217) 352-5842
Fax(217) 352-5842
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1851416770 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.
1701 S PROSPECT AVE, Champaign, IL 61820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Graciela V. Andresen Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Psychologist (Clinical)
1701 S PROSPECT AVE, SUITE 205
CHAMPAIGN, IL 61820
Psychologist (Clinical)
1701 S PROSPECT AVE, SUITE 306
CHAMPAIGN, IL 61820
Dentist (General Practice)
1701 S PROSPECT AVE, SUITE 203
CHAMPAIGN, IL 61820
Psychologist (Clinical)
1701 S PROSPECT AVE, SUITE 205
CHAMPAIGN, IL 61820
Psychologist (Group Psychotherapy)
1701 S PROSPECT AVE, SUITE 302
CHAMPAIGN, IL 61820
Counselor (Professional)
1701 S PROSPECT AVE, SUITE 101
CHAMPAIGN, IL 61820
Counselor (Professional)
1701 S PROSPECT AVE, SUITE 101
CHAMPAIGN, IL 61820

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 Graciela Andresen's NPI number?

The NPI number for Graciela Andresen is 1851416770. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Graciela Andresen located?

Graciela Andresen practices at 1701 S Prospect Ave Suite 202, Champaign, IL 61820. The listed phone number is (217) 352-9207.

What is Graciela Andresen's specialty?

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

Is Graciela Andresen enrolled in Medicare?

No. Graciela Andresen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Graciela Andresen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.