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DR. MARILYN SUE JOHNSON PH.D
NPI 1003021056
Psychologist - Clinical in Chicago, IL

Active since May 13, 2007Opted out of Medicare · through Jan 1, 2028
233 E ERIE ST, CHICAGO, IL 60611(312) 337-0374(630) 762-9978 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marilyn Sue Johnson Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARILYN SUE JOHNSON PH.D (NPI 1003021056) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since May 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003021056
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARILYN SUE JOHNSONCredential: PH.D
Location Address233 E ERIE STChicago, IL 60611-2926
Mailing Address233 E Erie StChicago, IL 60611-2926 · (312) 337-0374 · Fax (630) 762-9978
Phone(312) 337-0374
Fax(630) 762-9978
Sole ProprietorYes
Enumeration DateMay 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003021056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
233 E ERIE ST, Chicago, IL 60611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marilyn Sue Johnson Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AISHA KAZI PH.D.
Psychologist (Clinical)
233 E ERIE ST, SUITE 407
CHICAGO, IL 60611
Cook County (305) 804-5842
DR. NANCY BURKE PHD
Psychologist (Clinical)
233 E ERIE ST, SUITE 608
CHICAGO, IL 60611
Cook County (312) 335-0311
GEMA
Prosthetic/Orthotic Supplier
233 E ERIE ST, SUITE 200
CHICAGO, IL 60611
Cook County (312) 787-4400
GLEN SUSSMAN
Specialist (Research Study)
233 E ERIE ST, SUITE 203
CHICAGO, IL 60611
Cook County (312) 988-4500
DR. NEAL CHARLES NEALIS JR. D.D.S.
Dentist (General Practice)
233 E ERIE ST, SUITE #812
CHICAGO, IL 60611
Cook County (312) 266-9487
DANIEL ROSS APN
Nurse Practitioner (Psychiatric/Mental Health)
233 E ERIE ST, SUITE 709
CHICAGO, IL 60611
Cook County (847) 769-2687
HEARING & BALANCE CENTER, P.C.
Clinic/Center (Hearing and Speech)
233 E ERIE ST, SUITE 500
CHICAGO, IL 60611
Cook County (312) 573-2039
DR. RENANAH K LEHNER PH.D.
Psychologist (Clinical)
233 E ERIE ST, 713
CHICAGO, IL 60611
Cook County (773) 742-9844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Johnson's NPI number?

The NPI number for Marilyn Johnson is 1003021056. It was assigned to this individual provider in the NPPES registry on May 13, 2007.

Where is Marilyn Johnson located?

Marilyn Johnson practices at 233 E Erie St, Chicago, IL 60611. The listed phone number is (312) 337-0374.

What is Marilyn Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Marilyn Johnson enrolled in Medicare?

No. Marilyn Johnson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marilyn Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.