Dale W Faber, PHD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009890 Issued in IL

Practice address

1035 Grove St
Downers Grove, IL 60515-4636

Phone

(630) 926-4873

Fax

(630) 852-6335

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Counseling and Consulting Services, P.C.

  • Clinical Psychologist
  • Downers Grove, IL
  • NPI 1649573080
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1881718948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 GROVE ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154636",
            "telephone_number": "630-926-4873",
            "fax_number": "630-852-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 GROVE ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154636",
            "telephone_number": "630-926-4873",
            "fax_number": "630-852-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "DALE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2223316",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evolve Chiropractic Downers Grove PLLC
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• Eye Care Associates of Northern Illinois PC (Eye Care Associates)
• Garrett Ezell, D.C.
• Connor Fagan, DC
• Fairoaks Medical LLC (American Family Medical Center)
• Fairview Ogden Medical Group LTD. (Fairview Ogden Medical Group)
• Daniel Anthony Falco, DO
• Olivia Lauren Falcon

• Clinical Psychologist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.