NPIMap

Organization Active NPI

Fancher Psychology and Assessment, LLC

  • Psychologist
  • Skokie, IL
National Provider Identifier
1104164128
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071008207 Issued in IL
Legal business name
FANCHER PSYCHOLOGY AND ASSESSMENT, LLC
Practice address
4711 Golf Rd Ste 414
Skokie, IL 60076-1242
Phone
(312) 854-9764
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rachel Riley Fancher, PSY.D.
Title
Clinical Psychologist
Phone
(312) 854-9764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 071008207 IL Primary

Addresses

Primary practice location

4711 Golf Rd Ste 414
Skokie, IL 60076-1242

Mailing address

4711 Golf Rd Ste 414
Skokie, IL 60076-1242
Phone (312) 854-9764

National Provider Directory

National Provider Directory

Locations

4711 Golf Rd
Ste 414
Skokie, IL 60076
Phone (312) 854-9764

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1104164128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 414",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "312-854-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 414",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "312-854-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANCHER PSYCHOLOGY AND ASSESSMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-854-9764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.