DR. MARILYN SUE JOHNSON PH.D NPI 1003021056

Psychologist (Clinical) in Chicago, IL

NPI 1003021056 Individual Female Psychologist Clinical PECOS Enrolled Opted-Out Medicare

About MARILYN JOHNSON

Marilyn Johnson is a provider established in Chicago, Illinois and her medical specialization is psychologist (clinical) . The NPI number of Marilyn Johnson is 1003021056 and was assigned on May 2007. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an individual and her NPI record was last updated 14 years ago.

A clinical psychologist like Dr. Marilyn Sue Johnson Ph.d assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Marilyn Johnson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Marilyn Johnson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Marilyn Johnson opted out of Medicare effective on 01-01-2018 until 01-01-2022. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

NPI

1003021056

Provider NameDR. MARILYN SUE JOHNSON PH.D
Provider Location Address233 E ERIE ST CHICAGO, IL 60611
Provider Mailing Address233 E ERIE ST CHICAGO, IL 60611
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-13-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License StateIL
Taxonomy DescriptionA 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.

Business Address

DR. MARILYN SUE JOHNSON PH.D
233 E ERIE ST
CHICAGO, IL
ZIP 60611
Phone: (312) 337-0374
Fax: (630) 762-9978

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Mailing Address

DR. MARILYN SUE JOHNSON PH.D
233 E ERIE ST
CHICAGO, IL
ZIP 60611
Phone: (312) 337-0374
Fax: (630) 762-9978



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Opted-Out of MedicareYes
Opt-Out Effective Date01-01-2018
Opt-Out End Date01-01-2022
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619960184DR. ARNOLD B GRAUER MD
Individual
Internal Medicine233 E ERIE ST SUITE 710
CHICAGO, IL 60611
(312) 624-9671
1639154156DR. LAURA HELEN ROGERS M.D.
Individual
Allergy & Immunology (Allergy)233 E ERIE ST 810
CHICAGO, IL 60611
(312) 867-7450
1225014103DR. ROBERT M CRAIG M.D.
Individual
Internal Medicine (Gastroenterology)233 E ERIE ST SUITE 206
CHICAGO, IL 60611
(312) 908-9644
1114993250DR. MARK T UPTON M.D.
Individual
Internal Medicine (Cardiovascular Disease)233 E ERIE ST SUITE 412
CHICAGO, IL 60611
(312) 573-0973
1114994217DR. JANET S PEDEN PHD
Individual
Psychologist (Clinical)233 E ERIE ST STE 608
CHICAGO, IL 60611
(312) 335-9910
1235192279 ELEANOR LASER
Individual
Counselor (Professional)233 E ERIE ST
CHICAGO, IL 60611
(312) 961-7727
1992760235 JEANNINE TURNER M.D.
Individual
Internal Medicine (Cardiovascular Disease)233 E ERIE ST SUITE 500
CHICAGO, IL 60611
(312) 787-9332
1386697316ROBERT A. REFF, M.D., P.C.
Organization
Specialist233 E ERIE ST SUITE 707
CHICAGO, IL 60611
(312) 981-3370
1780621359 DONALD BROWN
Individual
Pediatrics233 E ERIE ST SUITE 304
CHICAGO, IL 60611
(312) 280-1480
1720001175CARDIAC WELLNESS CONSULTANTS SC
Organization
Internal Medicine (Cardiovascular Disease)233 E ERIE ST SUITE 500
CHICAGO, IL 60611
(312) 787-9332
1285649087DR. KALEE ANN COAKLEY D.D.S.
Individual
Dentist (General Practice)233 E ERIE ST SITE 406
CHICAGO, IL 60611
(312) 587-0200
1942216395DR. ANNE JANSSEN BUCKINGHAM PH.D.
Individual
Psychologist (Addiction (Substance Use Disorder))233 E ERIE ST SUITE 608
CHICAGO, IL 60611
(773) 334-2446
1225137979DR. SCOTT JOHN AMBERS PH.D.
Individual
Psychologist (Clinical)233 E ERIE ST SUITE 601
CHICAGO, IL 60611
(312) 409-4147
1023147352DR. NANCY BURKE PHD
Individual
Psychologist (Clinical)233 E ERIE ST SUITE 608
CHICAGO, IL 60611
(312) 335-0311
1336278209DR. KENNETH F TORTORIELLO PHD
Individual
Psychologist (Clinical)233 E ERIE ST SUITE 808
CHICAGO, IL 60611
(312) 649-1077
1750411765MS. BERNADINE M. GRAHAM M.A.
Individual
Counselor (Professional)233 E ERIE ST 601
CHICAGO, IL 60611
(312) 943-7166
1063545713DR. NEAL CHARLES NEALIS JR. D.D.S.
Individual
Dentist (General Practice)233 E ERIE ST SUITE #812
CHICAGO, IL 60611
(312) 266-9487
1649303892STREETERVILLE DENTAL, PC
Organization
Dentist (General Practice)233 E ERIE ST SUITE 602
CHICAGO, IL 60611
(312) 337-2212
1306963657DR. KERRY B. MULLEN PSY.D.
Individual
Psychologist (Clinical)233 E ERIE ST SUITE 309
CHICAGO, IL 60611
(312) 961-1964
1760509970 JUDITH BROWN GALLEAZZI M.A.
Individual
Counselor (Professional)233 E ERIE ST SUITE 601
CHICAGO, IL 60611
(312) 654-0334

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.