Active NPI
Frances J Pacheco, PSY.D.
- Clinical Psychologist
- Libertyville, IL
National Provider Identifier
1881783389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 1641 N Milwaukee Ave Ste 7
Libertyville, IL 60048-1350 - Phone
- (847) 362-6919
- Fax
- (847) 247-2220
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
1641 N Milwaukee Ave Ste 7
Libertyville, IL 60048-1350
Mailing address
1641 N Milwaukee Ave Ste 7
Libertyville, IL 60048-1350
Phone (847) 362-6919
Other names 1
- Dr. Frances J Pacheco
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190424002072 | IL | Practitioner - Clinical Psychologist | 9335481225 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Grand Oaks Behavioral Health LLC
Practice addresses (Care Compare)
1800 Hollister Dr
Suite 201
Libertyville, IL 60048-5266
Phone (847) 549-1189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004667 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Oaks Behavioral Health LLC | Clinical | Current | Accepting new patients |
| The Family Stress Clinic | Past | Accepting new patients |
Locations
1800 Hollister Dr
Ste 201
Libertyville, IL 60048
Phone (847) 549-0944
Interoperability endpoints
- fpacheco237633@direct.myadvocateaurora.org
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Libertyville, IL
- NPI 1669562559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881783389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 N MILWAUKEE AVE STE 7",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481350",
"telephone_number": "847-362-6919",
"fax_number": "847-247-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 N MILWAUKEE AVE STE 7",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481350",
"telephone_number": "847-362-6919",
"fax_number": "847-247-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "FRANCES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FRANCES",
"last_name": "PACHECO",
"middle_name": "J",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.