MOMENTUM PSYCHOTHERAPY, PLLC
NPI 1174290936
Psychologist - Clinical in Chicago, IL

Q: What is Momentum Psychotherapy, PLLC's NPI number?

The NPI number for Momentum Psychotherapy, PLLC is 1174290936. It was assigned to this organization in the NPPES registry on August 27, 2021.

Q: What is Momentum Psychotherapy, PLLC's specialty?

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

Active since August 27, 2021

5547 N RAVENSWOOD AVE STE 409, CHICAGO, IL 60640(773) 234-8810 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2025, Feb 7, 2022, Aug 27, 2021 (3 updates tracked since 2021).

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About Momentum Psychotherapy, Pllc NPPES

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

MOMENTUM PSYCHOTHERAPY, PLLC (NPI 1174290936) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since August 2021. The organization lists Andrew Mckenzie, Owner, as its authorized official.

NPPES Registry Identity

NPI1174290936

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMOMENTUM PSYCHOTHERAPY, PLLC

Location Address5547 N RAVENSWOOD AVE STE 409Chicago, IL 60640-1125

Mailing Address5440 N Paulina St Unit 1Chicago, IL 60640-1128 · (773) 209-8810

Phone(773) 234-8810

Organization SubpartNo

Authorized OfficialAndrew MckenzieOwner · (773) 234-8810

Enumeration DateAugust 27, 2021

Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1174290936 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.

5547 N RAVENSWOOD AVE STE 409, Chicago, IL 60640

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Momentum Psychotherapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Momentum Psychotherapy, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Mckenzie, PSYD

Clinical Psychologist

NPI 1487959953

5547 N RAVENSWOOD AVE STE 409
Chicago, IL 60640

(773) 234-8810

✔ PECOS✔ Accepts MedicareSame address

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

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 Momentum Psychotherapy, PLLC's NPI number?

The NPI number for Momentum Psychotherapy, PLLC is 1174290936. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Momentum Psychotherapy, PLLC located?

Momentum Psychotherapy, PLLC is located at 5547 N Ravenswood Ave Ste 409, Chicago, IL 60640. The listed phone number is (773) 234-8810.

What is Momentum Psychotherapy, PLLC's specialty?

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

Is Momentum Psychotherapy, PLLC enrolled in Medicare?

Yes. Momentum Psychotherapy, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Momentum Psychotherapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Momentum Psychotherapy, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Momentum Psychotherapy, PLLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.