Individual provider Active NPI

Frances J Pacheco, PSY.D.

  • Clinical Psychologist
  • Libertyville, IL
National Provider Identifier
1881783389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

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
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 Other name

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
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 LLCGroup PAC ID 2163523903, 14 clinicians

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

LicenseStateTypeSpecialty
071-004667ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Oaks Behavioral Health LLC Clinical CurrentSince Feb 27, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.