JOHN III LEWANDOWSKI (PSYD) – Psychologist, NPI 1104307917

JOHN III LEWANDOWSKI (PSYD) is a healthcare provider. based in Schaumburg, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. The NPI Number for JOHN III LEWANDOWSKI (PSYD) is 1104307917

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN III LEWANDOWSKI (PSYD)
NPI
1104307917
Phone
(847) 240-2211
Address
1701 E Woodfield Rd Ste 1000
Enumeration Date
29 August 2018
Last Update Date
29 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472402211
Graduation Year
2018 (8 years ago)
PAC ID
5092181156
Group Practice PAC ID
3274427729
Professional Enrollment ID
I20221014002570
Address ID
IL601735113SC1701XRDXX425
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for JOHN III LEWANDOWSKI (PSYD)

  • 1701 E Woodfield Rd Ste 1000

    Schaumburg, IL 601735113

    Phone: (847) 240-2211

    Fax: (847) 240-2418

    Type: Location

  • 350 E CONGRESS PKWY STE C

    CRYSTAL LAKE, IL 600146284

    Phone: (815) 356-5050

    Fax: (815) 356-5094

    Type: Location

  • 1000, East Woodfield Road, Schaumburg, Schaumburg Township, Cook County, Illinois, 60173, United States

    SCHAUMBURG, IL 601735113

    Phone: (847) 240-2211

    Fax: (847) 240-2418

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221014002570IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60173)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274427729View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
Clinical PsychologistIL
-IL
P S Y C H I A T R YIL
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
P S Y C H I A T R YIL
Clinical PsychologistIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

What is JOHN III LEWANDOWSKI (PSYD)'s NPI number?
JOHN III LEWANDOWSKI (PSYD)'s NPI is 1104307917 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JOHN III LEWANDOWSKI (PSYD)?
You should see JOHN III LEWANDOWSKI (PSYD) as active in CMS-hosted NPPES data.
How would a patient describe JOHN III LEWANDOWSKI (PSYD)'s focus?
For JOHN III LEWANDOWSKI (PSYD), the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN III LEWANDOWSKI (PSYD)?
Directory geography for JOHN III LEWANDOWSKI (PSYD) centers on Schaumburg, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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