DR. LUCY RICKSPOONE (PSY. D.) – Clinical Psychologist, NPI 1164933123

DR. LUCY RICKSPOONE (PSY. D.) is a healthcare provider. based in Libertyville, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. They hold a License No. 166001364 (IL). The NPI Number for DR. LUCY RICKSPOONE (PSY. D.) is 1164933123

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUCY RICKSPOONE (PSY. D.)
NPI
1164933123
Phone
(847) 816-6335
Address
1860 W WINCHESTER RD STE 106
Enumeration Date
18 October 2017
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478166335
Graduation Year
2017 (9 years ago)
PAC ID
8527457688
Group Practice PAC ID
0042432296
Professional Enrollment ID
I20211110001749
Address ID
IL600485312LI1860XRDXX404
Telehealth
Yes

Contacts

Other Endpoint
lrickspoone.bansalneuro@gmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:8State licenses:3Other namesUpdated within 12 months

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. LUCY RICKSPOONE (PSY. D.)

  • 1860 W WINCHESTER RD STE 106

    LIBERTYVILLE, IL 600485312

    Phone: (847) 816-6335

    Type: Location

  • 2715 CENTRAL ST APT 3S

    EVANSTON, IL 602011261

    Phone:

    Type: Mailing

  • Dundee Road, Fair Meadows, Northbrook, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600622320

    Phone: (847) 505-0121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211110001749IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour25539$0
90791Psychiatric diagnostic evaluation2524$0
View full utilization report →

Insurance plans in this area (ZIP 60048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042432296View full group profile
NameSpecialtyState
Physician AssistantIL
Clinical PsychologistME
Clinical PsychologistIL
Clinical Social WorkerWI
Mental Health CounselorIL
Physician AssistantIL
P S Y C H I A T R YAR
Nurse PractitionerWI
Psychiatry, NeurologyNY
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does DR. LUCY RICKSPOONE (PSY. D.) have a public NPI I can cite?
Public records show DR. LUCY RICKSPOONE (PSY. D.) under NPI 1164933123.
Is DR. LUCY RICKSPOONE (PSY. D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. LUCY RICKSPOONE (PSY. D.) as active.
How should patients interpret DR. LUCY RICKSPOONE (PSY. D.)'s specialty?
The extract shows Clinical Psychologist for DR. LUCY RICKSPOONE (PSY. D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LUCY RICKSPOONE (PSY. D.)?
DR. LUCY RICKSPOONE (PSY. D.) is associated with Libertyville, Illinois in the same public data insurers reference.
Why is information missing for DR. LUCY RICKSPOONE (PSY. D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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