JOHN LEWANDOWSKI III PSYD
NPI 1104307917
Psychologist in Crystal Lake, IL

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
350 E CONGRESS PKWY STE C, CRYSTAL LAKE, IL 60014(815) 356-5050(815) 356-5094 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John Lewandowski Iii Psyd NPPES

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

JOHN LEWANDOWSKI III PSYD (NPI 1104307917) is an individual psychologist in Crystal Lake, Illinois and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Schaumburg, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104307917
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJOHN LEWANDOWSKI IIICredential: PSYD
Location Address350 E CONGRESS PKWY STE CCrystal Lake, IL 60014-6284
Mailing Address1701 E Woodfield Rd Ste 1000Schaumburg, IL 60173-5113 · (847) 240-2211 · Fax (847) 240-2418
Fax(815) 356-5094
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 29, 2018
✔ NPI 1104307917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
350 E CONGRESS PKWY STE C, Crystal Lake, IL 60014

Secondary Practice Location 1

Location 11701 E Woodfield Rd Ste 1000Schaumburg, IL 60173-5113 · Phone (847) 240-2211 · Fax (847) 240-2418

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Lewandowski Iii Psyd 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 ID5092181156
PECOS Enrollment IDI20221014002570
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.

Medicare Billing Reassignment

Medicare enrollment records show John Lewandowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1701 E WOODFIELD RD, SUITE 1000
Schaumburg, IL 60173
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
350 E CONGRESS PKWY STE C
CRYSTAL LAKE, IL 60014

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 John Lewandowski's NPI number?

The NPI number for John Lewandowski is 1104307917. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is John Lewandowski located?

John Lewandowski practices at 350 E Congress Pkwy Ste C, Crystal Lake, IL 60014. The listed phone number is (815) 356-5050.

What is John Lewandowski's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is John Lewandowski enrolled in Medicare?

Yes. John Lewandowski 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.

Which organization bills Medicare for John Lewandowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lewandowski reassigns Medicare benefits to Pra Behavioral LLC (Schaumburg, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Lewandowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Lewandowski was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.