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DR. THOR JOHANSEN PSY.D.
NPI 1801094446
Psychologist - Clinical in Chicago, IL

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
4801 W PETERSON AVE STE 303, CHICAGO, IL 60646(773) 282-2322 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thor Johansen Psy.d. NPPES

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

DR. THOR JOHANSEN PSY.D. (NPI 1801094446) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (71007301) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1801094446
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THOR JOHANSENCredential: PSY.D.
Location Address4801 W PETERSON AVE STE 303Chicago, IL 60646-5726
Mailing Address3329 N Hoyne Ave # 1Chicago, IL 60618-6243 · (773) 428-2449
Phone(773) 282-2322
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801094446 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 · 71007301
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.
4801 W PETERSON AVE STE 303, Chicago, IL 60646
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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. Thor Johansen 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 ID7315379781
PECOS Enrollment IDI20191125000050
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.

Areas of Expertise CMS Part B claims 2

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
49 services47 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
41 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60646 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.

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 Thor Johansen's NPI number?

The NPI number for Thor Johansen is 1801094446. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Thor Johansen located?

Thor Johansen practices at 4801 W Peterson Ave Ste 303, Chicago, IL 60646. The listed phone number is (773) 282-2322.

What is Thor Johansen's specialty?

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

Is Thor Johansen enrolled in Medicare?

Yes. Thor Johansen 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.

What insurance does Thor Johansen accept?

Health plans from Blue Cross Blue Shield of Arizona list Thor Johansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thor Johansen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.