M Denise Fraser Vaselakos, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

12627 W 143Rd St
Homer Glen, IL 60491-8381

Phone

(708) 645-0798

Fax

(708) 645-0841

NPI assigned

Feb 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fraser Vaselakos & Associates, PC

  • Clinical Psychologist
  • Homer Glen, IL
  • NPI 1821168162
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203120000000",
    "number": "1982872594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 W 143RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918381",
            "telephone_number": "708-645-0798",
            "fax_number": "708-645-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 W 143RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918381",
            "telephone_number": "708-645-0798",
            "fax_number": "708-645-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER VASELAKOS",
        "first_name": "M DENISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2008-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Maureen Fluder, MA, LMSW
• Carolyn Elizabeth Foley, MS, CCC-SLP
• Foot and Ankle Inc
• Franciscan Communities, Inc. (Marian Village)
• Fraser Vaselakos & Associates, PC
• Lindsey Fron
• Functional Therapy & Rehabilitation, P.C.
• Christy Galardi
• Gabriel Goldman, PT, DPT
• Jennifer Hedwig Goodrich, ATC

• Clinical Psychologist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.