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DR. LISA HINCKLEY BERGHORST PH.D.
NPI 1922443944
Psychologist - Clinical in Chicago, IL

Active since May 03, 2013Opted out of Medicare · through Sep 3, 2026
939 W NORTH AVE STE 875, CHICAGO, IL 60642(773) 888-4422 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Hinckley Berghorst Ph.d. NPPES

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

DR. LISA HINCKLEY BERGHORST PH.D. (NPI 1922443944) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009411) and active in the NPI registry since May 2013. She has opted out of Medicare through September 3, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922443944
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA HINCKLEY BERGHORSTCredential: PH.D.
Location Address939 W NORTH AVE STE 875Chicago, IL 60642-7146
Mailing Address939 W North Ave Ste 875Chicago, IL 60642-7146 · (773) 888-4422
Phone(773) 888-4422
Sole ProprietorNo
Enumeration DateMay 3, 2013
Last NPPES UpdateDecember 20, 2019
✔ NPI 1922443944 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 · 071009411
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 ListedPsychologistTaxonomy 103T00000X · License 05085 (MD)
939 W NORTH AVE STE 875, Chicago, IL 60642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Hinckley Berghorst Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 3, 2014 through September 3, 2026.

Opt-Out Effective DateSeptember 3, 2014
Opt-Out In Effect ThroughSeptember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60642 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

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

COGNITIVE BEHAVIORAL GROWTH, LLC
Psychologist (Clinical)
939 W NORTH AVE STE 875
CHICAGO, IL 60642
Cook County (773) 888-4422

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 Lisa Berghorst's NPI number?

The NPI number for Lisa Berghorst is 1922443944. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Lisa Berghorst located?

Lisa Berghorst practices at 939 W North Ave Ste 875, Chicago, IL 60642. The listed phone number is (773) 888-4422.

What is Lisa Berghorst's specialty?

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

Is Lisa Berghorst enrolled in Medicare?

No. Lisa Berghorst has opted out of Medicare through September 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Berghorst was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.