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ICON PSYCHOLOGIES CORP
NPI 1972990497
Psychiatry & Neurology - Psychiatry in Naperville, IL

Active since April 22, 2015
620 N RIVER RD STE 106, NAPERVILLE, IL 60563(630) 364-2484(630) 536-8511 Get Directions Write a Review

NPPES record last updated: November 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Icon Psychologies Corp NPPES

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

ICON PSYCHOLOGIES CORP (NPI 1972990497) is a healthcare organization registered as a psychiatry in Naperville, Illinois and active in the NPI registry since April 2015. The organization lists Soberekon M Koko, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1972990497
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameICON PSYCHOLOGIES CORP
Location Address620 N RIVER RD STE 106Naperville, IL 60563-8951
Mailing Address620 N River Rd Ste 106Naperville, IL 60563-8951 · (630) 364-2484 · Fax (630) 536-8511
Phone(630) 364-2484
Fax(630) 536-8511
Organization SubpartNo
Authorized OfficialSoberekon M KokoOwner/medical Director · (312) 342-6066
Enumeration DateApril 22, 2015
Last NPPES UpdateNovember 26, 2017
✔ NPI 1972990497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
620 N RIVER RD STE 106, Naperville, IL 60563
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Icon Psychologies Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Icon Psychologies Corp, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Soberekon Koko, M.D.
Psychiatry
NPI 1992918866
326 W 64TH ST
Chicago, IL 60621
(773) 962-3900
✔ PECOS✔ Accepts Medicare28 mi
Taryrsha Davis, APN
Nurse Practitioner
NPI 1821552761
17504 E CARRIAGEWAY DR
Hazel Crest, IL 60429
(312) 636-3722
✔ PECOS29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Icon Psychologies Corp's NPI number?

The NPI number for Icon Psychologies Corp is 1972990497. It was assigned to this organization in the NPPES registry on April 22, 2015.

Where is Icon Psychologies Corp located?

Icon Psychologies Corp is located at 620 N River Rd Ste 106, Naperville, IL 60563. The listed phone number is (630) 364-2484.

What is Icon Psychologies Corp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Icon Psychologies Corp enrolled in Medicare?

Yes. Icon Psychologies Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Icon Psychologies Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Icon Psychologies Corp, in Nurse Practitioner and Psychiatry. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Icon Psychologies Corp was last updated on November 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.