Individual provider Active NPI

Frederick J Yapelli, PH.D

  • Psychologist
  • Elmhurst, IL
National Provider Identifier
1316958325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
71002143 Issued in IL
Practice address
579 W North Ave
Suite 204
Elmhurst, IL 60126-2136
Phone
(630) 279-2660
Fax
(630) 279-2694
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 71002143 IL Primary

Addresses

Primary practice location

579 W North Ave
Suite 204
Elmhurst, IL 60126-2136

Mailing address

579 W North Ave
Suite 204
Elmhurst, IL 60126-2136
Phone (630) 279-2660

Other identifiers 1

IdentifierTypeStateIssuer
2215255OtherILBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000272 IL Practitioner - Clinical Psychologist 8921047846 Practice locations: Elmhurst, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

369 E Ridge Ave
Elmhurst, IL 60126-4131
Phone (630) 279-2660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
71002143ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elisabeth Av Desapereira,MD,LTD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316958325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 W NORTH AVE",
            "address_2": "SUITE 204",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262136",
            "telephone_number": "630-279-2660",
            "fax_number": "630-279-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 W NORTH AVE",
            "address_2": "SUITE 204",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262136",
            "telephone_number": "630-279-2660",
            "fax_number": "630-279-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAPELLI",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "71002143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2215255",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.