Individual provider Active NPI

Anne Krick, PSY.D.

  • Clinical Psychologist
  • Wheaton, IL
National Provider Identifier
1679610323
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005562 Issued in IL
Practice address
200 N Blanchard St
Wheaton, IL 60187-5810
Phone
(630) 665-3155
Fax
(630) 517-8653
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005562 IL Primary

Addresses

Primary practice location

200 N Blanchard St
Wheaton, IL 60187-5810

Mailing address

200 N Blanchard St
Wheaton, IL 60187-5810
Phone (630) 665-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005562ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Revelations RX PLLC CurrentSince May 28, 2023 Accepting new patients
Fox Valley Institute for Growth and Wellness Inc CurrentSince Oct 1, 2021 Accepting new patients
Nickerson & Associates, P.C. Clinical PastSince Jan 15, 2008 Accepting new patients
Chicago Christian Counseling Center Inc Clinical PastSince Feb 1, 2010 Accepting new patients

Locations

640 N River Rd
Ste 108
Naperville, IL 60563
Phone (630) 359-8951

Organizations & group practices 4

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1679610323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BLANCHARD ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875810",
            "telephone_number": "630-665-3155",
            "fax_number": "630-517-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BLANCHARD ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875810",
            "telephone_number": "630-665-3155",
            "fax_number": "630-517-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICK",
        "first_name": "ANNE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.