DR. RONALD J GANELLEN PHD
NPI 1073568457
Psychologist - Clinical in Chicago, IL

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
405 N WABASH, SUITE 2810 RONALD J GANELLEN PHD, CHICAGO, IL 60611(312) 822-7255(312) 822-9051 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald J Ganellen Phd NPPES

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

DR. RONALD J GANELLEN PHD (NPI 1073568457) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071003236) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1073568457
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RONALD J GANELLENCredential: PHD
Location Address405 N WABASH, SUITE 2810 RONALD J GANELLEN PHDChicago, IL 60611
Mailing Address405 N Wabash, Suite 2810 Ronald J Ganellen PhdChicago, IL 60611 · (312) 822-7255 · Fax (312) 822-9051
Fax(312) 822-9051
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateMay 23, 2006
Last NPPES UpdateFebruary 22, 2008
NPI 1073568457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071003236
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.
405 N WABASH, Chicago, IL 60611

Other Identifiers 1

Medicare UPIN752870IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ronald J Ganellen Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42463986
PECOS Enrollment IDI20121231000174
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
417 services61 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
61 services61 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
59 services59 patients

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 2

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

Family Medicine
405 N WABASH, #1303
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH, SUITES 208, 1114, & 4009
CHICAGO, IL 60611

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 Ronald Ganellen's NPI number?

The NPI number for Ronald Ganellen is 1073568457. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Ronald Ganellen located?

Ronald Ganellen practices at 405 N Wabash Suite 2810 Ronald J Ganellen Phd, Chicago, IL 60611. The listed phone number is (312) 822-7255.

What is Ronald Ganellen's specialty?

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

Is Ronald Ganellen enrolled in Medicare?

Yes. Ronald Ganellen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ronald Ganellen was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.