JOEL DANIEL WYATT MS
NPI 1861983975
Psychologist - Clinical in Chicago, IL

Q: What is Joel Wyatt's NPI number?

The NPI number for Joel Wyatt is 1861983975. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Joel Wyatt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joel Wyatt was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment

1645 W JACKSON BLVD STE 602, CHICAGO, IL 60612(312) 942-8387 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Joel Daniel Wyatt Ms NPPES

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

JOEL DANIEL WYATT MS (NPI 1861983975) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071010570) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861983975

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJOEL DANIEL WYATTCredential: MS

Location Address1645 W JACKSON BLVD STE 602Chicago, IL 60612-2847

Mailing Address1645 W Jackson Blvd Ste 602Chicago, IL 60612-2847 · (312) 942-8387

Phone(312) 942-8387

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 24, 2018

Last NPPES UpdateSeptember 2, 2021

NPPES CertifiedSeptember 2, 2021

✔ NPI 1861983975 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 · 071010570

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1645 W JACKSON BLVD STE 602, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Joel Daniel Wyatt Ms 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 ID8022415652

PECOS Enrollment IDI20210924001787

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 60612 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 8

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

DR. JONATHAN W MURPHY PHD

Psychologist (Clinical)