DR. STACEY RENEE JOHNSON BELMONT PHD
NPI 1396012688
Psychologist - Clinical in Chicago, IL

Active since November 30, 2011PECOS EnrolledAccepts Medicare Assignment
3166 N LINCOLN AVE, SUITE 217, CHICAGO, IL 60657(708) 406-9870 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stacey Renee Johnson Belmont Phd NPPES

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

DR. STACEY RENEE JOHNSON BELMONT PHD (NPI 1396012688) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071008266) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396012688
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STACEY RENEE JOHNSON BELMONTCredential: PHD
Location Address3166 N LINCOLN AVE, SUITE 217Chicago, IL 60657-3133
Mailing Address3166 N Lincoln Ave, Suite 217Chicago, IL 60657-3133 · (815) 501-5211
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 30, 2011
Last NPPES UpdateFebruary 27, 2014
NPI 1396012688 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 · 071008266
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.

3166 N LINCOLN AVE, Chicago, IL 60657

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. Stacey Renee Johnson Belmont 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 ID7618137100
PECOS Enrollment IDI20120320000712
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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.

Psychologist (Clinical)
3166 N LINCOLN AVE, SUITE 217
CHICAGO, IL 60657
Psychologist (Clinical)
3166 N LINCOLN AVE, STE 206
CHICAGO, IL 60657
Counselor (Mental Health)
3166 N LINCOLN AVE, SUITE 408
CHICAGO, IL 60657
Social Worker (Clinical)
3166 N LINCOLN AVE, SUITE 216
CHICAGO, IL 60657
Clinic/Center (Mental Health (Including Community Mental Health Center))
3166 N LINCOLN AVE, SUITE 205
CHICAGO, IL 60657
Social Worker (Clinical)
3166 N LINCOLN AVE, SUITE 217
CHICAGO, IL 60657
Psychologist (Clinical)
3166 N LINCOLN AVE, SUITE 304
CHICAGO, IL 60657
Social Worker (Clinical)
3166 N LINCOLN AVE, SUITE 303
CHICAGO, IL 60657

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 Stacey Johnson Belmont's NPI number?

The NPI number for Stacey Johnson Belmont is 1396012688. It was assigned to this individual provider in the NPPES registry on November 30, 2011.

Where is Stacey Johnson Belmont located?

Stacey Johnson Belmont practices at 3166 N Lincoln Ave Suite 217, Chicago, IL 60657. The listed phone number is (708) 406-9870.

What is Stacey Johnson Belmont's specialty?

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

Is Stacey Johnson Belmont enrolled in Medicare?

Yes. Stacey Johnson Belmont 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 Stacey Johnson Belmont was last updated on February 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.