JOHN KOH PSY.D
NPI 1720453160
Psychologist - Clinical in Evanston, IL

Active since December 10, 2015PECOS EnrolledAccepts Medicare Assignment
708 CHURCH ST, SUITE 216, EVANSTON, IL 60201(773) 234-9447 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2015, Dec 10, 2015 (2 updates tracked since 2015).

About John Koh Psy.d NPPES

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

JOHN KOH PSY.D (NPI 1720453160) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (071009191) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720453160
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJOHN KOHCredential: PSY.D
Location Address708 CHURCH ST, SUITE 216Evanston, IL 60201-3875
Mailing Address708 Church St, Suite 216Evanston, IL 60201-3875 · (773) 234-9447
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 10, 2015
Last NPPES UpdateDecember 23, 20152 updates tracked since enumeration
NPI 1720453160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071009191
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
708 CHURCH ST, Evanston, IL 60201

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

John Koh 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 ID1951650779
PECOS Enrollment IDI20180827003450
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 60201 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.

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
708 CHURCH ST, SUITE 221
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST, SUITE 227
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST
EVANSTON, IL 60201
Dietitian, Registered
708 CHURCH ST
EVANSTON, IL 60201
Marriage & Family Therapist
708 CHURCH ST, SUITE 221
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST, SUITE 233
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST, SUITE 243
EVANSTON, IL 60201
Psychologist (Clinical)
708 CHURCH ST
EVANSTON, IL 60201

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 Koh's NPI number?

The NPI number for John Koh is 1720453160. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is John Koh located?

John Koh practices at 708 Church St Suite 216, Evanston, IL 60201. The listed phone number is (773) 234-9447.

What is John Koh's specialty?

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

Is John Koh enrolled in Medicare?

Yes. John Koh 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 John Koh was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.