DR. JOSEPH WILLIAM PROCTOR
NPI 1497287007
Psychologist in Macomb, IL

Active since April 02, 2017PECOS Enrolled
210 S RANDOLPH ST, MACOMB, IL 61455(217) 779-6063 Get Directions Write a Review

NPPES record last updated: April 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph William Proctor NPPES

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

DR. JOSEPH WILLIAM PROCTOR (NPI 1497287007) is an individual psychologist in Macomb, Illinois, licensed in Illinois (071005721) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497287007
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOSEPH WILLIAM PROCTOR
Location Address210 S RANDOLPH STMacomb, IL 61455-3828
Mailing Address6482 Lakeshore View DrRushville, IL 62681-4707 · (217) 779-6063
Sole ProprietorYes
Enumeration DateApril 2, 2017
✔ NPI 1497287007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in IL · 071005721
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.
210 S RANDOLPH ST, Macomb, IL 61455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph William Proctor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Joseph Proctor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 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 4

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

Social Worker (Clinical)
210 S RANDOLPH ST
MACOMB, IL 61455
Psychologist (Clinical)
210 S RANDOLPH ST
MACOMB, IL 61455
Clinic/Center (Mental Health (Including Community Mental Health Center))
210 S RANDOLPH ST
MACOMB, IL 61455
Psychologist
210 S RANDOLPH ST
MACOMB, IL 61455

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 Joseph Proctor's NPI number?

The NPI number for Joseph Proctor is 1497287007. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Joseph Proctor located?

Joseph Proctor practices at 210 S Randolph St, Macomb, IL 61455. The listed phone number is (217) 779-6063.

What is Joseph Proctor's specialty?

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

Is Joseph Proctor enrolled in Medicare?

Yes. Joseph Proctor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Proctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Proctor reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Joseph Proctor'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 Joseph Proctor was last updated on April 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.