Lance David Reinke, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071007671 Issued in IL

Practice address

2445 Dean St Ste 1a
St Charles, IL 60175-4828

Phone

(630) 933-4662

Fax

(630) 938-4697

NPI assigned

May 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurocare and Family Services PCGroup PAC ID 6103127154, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neurocare and Family Services P.C.

  • Clinical Neuropsychologist
  • Wheaton, IL
  • NPI 1699050435
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1689808750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 S NAPERVILLE RD STE 106",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895892",
            "telephone_number": "630-260-8780",
            "fax_number": "630-938-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 DEAN ST STE 1A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754828",
            "telephone_number": "630-933-4662",
            "fax_number": "630-938-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "LANCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007671",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071007671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Recinos, RBT
• Katherine Lynn Reed, LCSW
• Robert Henry Reeder, M.D.
• Andrea Reffett
• Anna Linn Reinke, P.A.
• Reliant DME LLC
• Ralph E. Remus, D.D.S.
• Restorative Solutions Inc
• Sarah Reszke, LPC
• Kaycee Reyes

• Clinical Neuropsychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.