Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013225879 Individual Practitioner Male Practitioner

Dr. Nicholas Fredrick , PsyD

Psychologist - Clinical • Elgin, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Fredrick, PsyD is a certified Psychologist - Clinical practicing in Elgin, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Fredrick delivers high-quality medical care to the local community at 1595 WELD RD STE 5.

Dr. Fredrick accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1595 Weld Rd Ste 5

Elgin, IL 601235896

Telephone 2623086257
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Elgin, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -7.7 yrs vs City Avg
City Avg: 19.7 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Elgin, IL (4140 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fredrick (12 Years) 12 Yrs
Elgin Specialty Average (19.7 Years) 19.7 Yrs

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071010033

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Clinical Psychologist License
071010033 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Amy Beckman-Page , MA, ABD

Counselor - Mental Health

NPI 1689847592

Master of Arts, ABD

Dr. Stephanie Tappan , PsyD

Psychologist - Clinical

NPI 1760067623

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 14, 2019

Registered at 1595 WELD RD STE 5, ELGIN, IL 601235896 (Tel: 2623086257)

📍
Updated Business Mailing Address May 14, 2019

Registered at 5558 W EDMUNDS ST APT 1, CHICAGO, IL 606304698 (Tel: 2623086257)

👤
Provider Name / Credentials Updated May 14, 2019

Recorded as NICHOLAS FREDRICK, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2019

Psychologist (License #071010033 in IL)

NPI Profile Active September 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2010

Registered at 333 S STATE STREET REVENUE #200, CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL 60640 (Tel: 3127479442)

📍
Updated Business Mailing Address September 15, 2010

Registered at 333 S STATE STREET REVENUE #200, CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL 60640

👤
Provider Name / Credentials Updated September 15, 2010

Recorded as NICHOLAS FREDRICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2010

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 15, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013225879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2010
Last Update: May 14, 2019
Sole Proprietor: Yes

Mailing Address

5558 W Edmunds St Apt 1

Chicago, IL 606304698

Phone: 2623086257

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.