Frances Bernandine Ricketts, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004493 Issued in IL

Practice address

2208 7TH Avenue
Rock Island, IL 61201-2604

Phone

(309) 786-1569

Fax

(309) 786-2201

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• Dr. Francy B Ricketts Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1114963089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 7TH AVENUE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012604",
            "telephone_number": "309-786-1569",
            "fax_number": "309-786-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 7TH AVENUE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012604",
            "telephone_number": "309-786-1569",
            "fax_number": "309-786-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "FRANCES",
        "middle_name": "BERNANDINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004493",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "00033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "188390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08122334",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5066340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "MIS207028000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR OWEP",
            "identifier": "104119200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MIS061227002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "245866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCY",
            "last_name": "RICKETTS",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melanie Jean Rice
• Todd J Richard, PT
• Anne Bronwen Richards, DDS
• Janna Elizabeth Richards, L.C.S.W.
• Angelica Richardson
• Anthony T. Riordan, LMFT
• River Valley Family Practice LTD
• Kimberly Roark
• Robert W Milas MD SC
• Patricia A Robinson, CRC, LBSW

• Clinical Psychologist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.