1. Home
  2. Directory
  3. Illinois
  4. Park Ridge
  5. Psychologist
  6. NPI Profile

DR. MARY MORAG SUTHERLAND PSY.D.
NPI 1255651162
Psychologist - Clinical in Park Ridge, IL

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
1400 RENAISSANCE DR STE 401, PARK RIDGE, IL 60068(847) 318-8200(847) 318-9170 Get Directions Write a Review

NPPES record last updated: January 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mary Morag Sutherland Psy.d. NPPES

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

DR. MARY MORAG SUTHERLAND PSY.D. (NPI 1255651162) is an individual clinical provider in Park Ridge, Illinois, licensed in Illinois (071007653) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255651162
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY MORAG SUTHERLANDCredential: PSY.D.
Location Address1400 RENAISSANCE DR STE 401Park Ridge, IL 60068-1337
Mailing Address222 Main St Apt 305Evanston, IL 60202-2465 · (847) 917-2951
Phone(847) 318-8200
Fax(847) 318-9170
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 3, 2010
Last NPPES UpdateJanuary 28, 2023
NPPES CertifiedJanuary 28, 2023
✔ NPI 1255651162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IL · 071007653✔ Licensed in IL · 071.007653
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.
1400 RENAISSANCE DR STE 401, Park Ridge, IL 60068
Open in Google Maps ↗

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

Dr. Mary Morag Sutherland Psy.d. 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 ID3476708157
PECOS Enrollment IDI20150408001496
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 Mary Morag Sutherland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willow Wellness Center, PLLC
0.5 mi
Adult Mental Health
2604 DEMPSTER ST STE 401
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1154437739 (847) 318-8200

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

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
207 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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

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

DR. ALEXANDER MYLONAS PSY.D.
Psychologist (Clinical)
1400 RENAISSANCE DR STE 401
PARK RIDGE, IL 60068
Cook County (312) 715-7804

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 Mary Morag Sutherland's NPI number?

The NPI number for Mary Morag Sutherland is 1255651162. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Mary Morag Sutherland located?

Mary Morag Sutherland practices at 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068. The listed phone number is (847) 318-8200.

What is Mary Morag Sutherland's specialty?

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

Is Mary Morag Sutherland enrolled in Medicare?

Yes. Mary Morag Sutherland 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 Mary Morag Sutherland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Morag Sutherland reassigns Medicare benefits to Willow Wellness Center, PLLC (Park Ridge, 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 Mary Morag Sutherland'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 Mary Morag Sutherland was last updated on January 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.