FANCHER PSYCHOLOGY AND ASSESSMENT, LLC (NPI# 1104164128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104164128 |
| Entity Type | Organization |
| Organization Name | FANCHER PSYCHOLOGY AND ASSESSMENT, LLC |
| Practice Address |
4711 Golf Rd Ste 414 Skokie IL 60076-1242 |
| Practice Telephone | 3128549764 |
| Mailing Telephone | 3128549764 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | DR. RACHEL RILEY FANCHER (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3128549764 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071008207 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4711 GOLF RD STE 414 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114017332 | Dawn Florine Olson | Specialist | 4711 Golf Rd Ste 414, Skokie, IL 60076-1242 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709052 | Mitchell B. Hoberman, Psy.d., P.C. | Psychologist | 8952 Samoset Trl, Skokie, IL 60076-1914 | 2020-10-28 |
| 1457623167 | Sarah Elizabeth Rees Riley | Psychologist | 4700 W Golf Road, Suite 400, Skokie, IL 60076-1242 | 2012-01-27 |
| 1457676322 | Chicago Cognitive Behavioral Treatment Center | Psychologist | 4711 Golf Rd Ste 520, Skokie, IL 60076-1224 | 2010-04-02 |
| 1447450614 | Rachael Ann Schuster | Psychologist | 9855 Woods Dr, Suite G105, Skokie, IL 60077-1074 | 2007-07-24 |
| 1609828755 | Behavioral Mental Health, P.C. | Psychologist | 64 Old Orchard Shopping Ctr, Suite 603, Skokie, IL 60077-1425 | 2006-05-17 |
| 1326649856 | Amanda Kathryn Lossia | Psychologist | 4709 Golf Rd Ste 1150, Skokie, IL 60076-1252 | 2020-11-02 |
| 1134772411 | Brenda Jane Huber | Psychologist | 4711 Golf Rd Ste 1100, Skokie, IL 60076-1249 | 2019-07-16 |
| 1497227532 | Breanne Taylor | Psychologist | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 | 2018-12-31 |
| 1225515794 | Lisa Berreman | Psychologist | 4711 Golf Rd Ste 1100, Skokie, IL 60076-1249 | 2018-07-26 |
| 1124530530 | Tiffany Marie Voight | Psychologist | 8000 E Prairie Rd, Skokie, IL 60076-3402 | 2017-10-26 |
| Find all providers in SKOKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.