DR. MARILYN SUE JOHNSON PH.D NPI 1003021056
Psychologist - Clinical in Chicago, IL
About DR. MARILYN SUE JOHNSON PH.D
Marilyn Johnson is a provider established in Chicago, Illinois and her medical specialization is Psychologist with a focus in 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 15 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.
| NPI | 1003021056 |
| Provider Name | DR. MARILYN SUE JOHNSON PH.D |
| Provider Location Address | 233 E ERIE ST CHICAGO, IL 60611 |
| Provider Mailing Address | 233 E ERIE ST CHICAGO, IL 60611 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 05-13-2007 |
| Last Update Date | 07-08-2007 |
Marilyn Johnson is enrolled in PECOS and is eligible to order or refer health care 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 01-01-2024. 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.
Primary Taxonomy
| Taxonomy Code | 103TC0700X |
| Classification | Psychologist |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Clinical |
| License State | IL |
| Taxonomy Description | 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. |
Business Address
DR. MARILYN SUE JOHNSON PH.D
233 E ERIE ST
CHICAGO, IL
ZIP 60611
Phone: (312) 337-0374
Fax: (630) 762-9978
Mailing Address
DR. MARILYN SUE JOHNSON PH.D
233 E ERIE ST
CHICAGO, IL
ZIP 60611
Phone: (312) 337-0374
Fax: (630) 762-9978
PECOS Enrollment and Medicare Participation
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.
| Registered in PECOS? | Yes |
| Opted-Out of Medicare | Yes |
| Opt-Out Effective Date | 01-01-2018 |
| Opt-Out End Date | 01-01-2024 |
| Eligible to Order and Refer | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | No |
| Eligible order / refer Power Mobility Devices | No |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 2 | 1 | 0 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 2 | 2 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 2 + 2 + 0 + 1 + 0 + 24 = 34 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 34 = 6 | 6 | ||||||||
The NPI number 1003021056 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619960184 | DR. ARNOLD B GRAUER MD Individual | Internal Medicine | 233 E ERIE ST SUITE 710 CHICAGO, IL 60611 (312) 624-9671 |
| 1639154156 | DR. LAURA HELEN ROGERS M.D. Individual | Allergy & Immunology (Allergy) | 233 E ERIE ST 810 CHICAGO, IL 60611 (312) 867-7450 |
| 1225014103 | DR. ROBERT M CRAIG M.D. Individual | Internal Medicine (Gastroenterology) | 233 E ERIE ST SUITE 206 CHICAGO, IL 60611 (312) 908-9644 |
| 1114993250 | DR. MARK T UPTON M.D. Individual | Internal Medicine (Cardiovascular Disease) | 233 E ERIE ST SUITE 412 CHICAGO, IL 60611 (312) 573-0973 |
| 1114994217 | DR. 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 |
| 1780621359 | DONALD BROWN Individual | Pediatrics | 233 E ERIE ST SUITE 304 CHICAGO, IL 60611 (312) 280-1480 |
| 1720001175 | CARDIAC WELLNESS CONSULTANTS SC Organization | Internal Medicine (Cardiovascular Disease) | 233 E ERIE ST SUITE 500 CHICAGO, IL 60611 (312) 787-9332 |
| 1285649087 | DR. KALEE ANN COAKLEY D.D.S. Individual | Dentist (General Practice) | 233 E ERIE ST SITE 406 CHICAGO, IL 60611 (312) 587-0200 |
| 1942216395 | DR. ANNE JANSSEN BUCKINGHAM PH.D. Individual | Psychologist (Addiction (Substance Use Disorder)) | 233 E ERIE ST SUITE 608 CHICAGO, IL 60611 (773) 334-2446 |
| 1225137979 | DR. SCOTT JOHN AMBERS PH.D. Individual | Psychologist (Clinical) | 233 E ERIE ST SUITE 601 CHICAGO, IL 60611 (312) 409-4147 |
| 1023147352 | DR. NANCY BURKE PHD Individual | Psychologist (Clinical) | 233 E ERIE ST SUITE 608 CHICAGO, IL 60611 (312) 335-0311 |
| 1336278209 | DR. KENNETH F TORTORIELLO PHD Individual | Psychologist (Clinical) | 233 E ERIE ST SUITE 808 CHICAGO, IL 60611 (312) 649-1077 |
| 1750411765 | MS. BERNADINE M. GRAHAM M.A. Individual | Counselor (Professional) | 233 E ERIE ST 601 CHICAGO, IL 60611 (312) 943-7166 |
| 1063545713 | DR. NEAL CHARLES NEALIS JR. D.D.S. Individual | Dentist (General Practice) | 233 E ERIE ST SUITE #812 CHICAGO, IL 60611 (312) 266-9487 |
| 1649303892 | STREETERVILLE DENTAL, PC Organization | Dentist (General Practice) | 233 E ERIE ST SUITE 602 CHICAGO, IL 60611 (312) 337-2212 |
| 1306963657 | DR. 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 |
| 1689795122 | DR. KATHERINE CARROLL M.D. Individual | Psychiatry & Neurology (Neurology) | 233 E ERIE ST SUITE 500 CHICAGO, IL 60611 (312) 944-0063 |
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
Dr. Marilyn Sue Johnson Ph.d is registered as an entity type code: 1. The entity type code describes 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.