Dr Richard D Travis Jr, PSYD, LCP is a
Psychologist - Clinical based in Plainfield, Illinois. Dr Richard D Travis Jr is licensed to practice in Illinois (license number 071.008003) and his current practice location is
24123 W Lockport St, Unit 101, Plainfield, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 436-1101.
NPI number for Dr Richard D Travis Jr is 1902989122 and his current mailing address is 24123 W Lockport St, Unit 101, Plainfield, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902989122.
Healthcare Provider's Profile
| Full Name | Dr Richard D Travis Jr |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 24123 W Lockport St, Plainfield, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902989122
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 01/17/2011
Medical Identifiers
Medical identifiers for Dr Richard D Travis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902989122 | NPI | - | NPPES |
| 11723317 | Other | IL | AETNA |
| 0009932335 | Other | IL | BCBS IL |
| 581473 | Other | IL | VALUE OPTIONS |
| 802121000 | Other | IL | MAGELLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 180003461 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.008003 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard D Travis Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard D Travis Jr, PSYD, LCP
24123 W Lockport St, Unit 101,
Plainfield, IL 60544-2863
Ph: (815) 436-1101 | Dr Richard D Travis Jr, PSYD, LCP
24123 W Lockport St, Unit 101,
Plainfield, IL 60544-2863
Ph: (815) 436-1101 |
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