DR. JOHN M MCCONNELL (PHD) – Clinical Psychologist, NPI 1174884514

DR. JOHN M MCCONNELL (PHD) is a healthcare provider. based in Hinsdale, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 20042890A (IN). The NPI Number for DR. JOHN M MCCONNELL (PHD) is 1174884514

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN M MCCONNELL (PHD)
NPI
1174884514
Phone
(630) 325-5300
Address
120 E OGDEN AVE
Enumeration Date
1 June 2012
Last Update Date
31 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303255300
Graduation Year
2014 (12 years ago)
PAC ID
6709161854
Group Practice PAC ID
6002707262
Professional Enrollment ID
I20170810000175
Address ID
IL605213546HI120XXAVEX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. JOHN M MCCONNELL (PHD)

  • 120 E OGDEN AVE

    STE 220

    HINSDALE, IL 605213546

    Phone: (630) 325-5300

    Fax: (630) 325-5309

    Type: Mailing

  • 501 COLLEGE AVE

    WHEATON, IL 601875501

    Phone: (630) 752-5762

    Type: Location

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: 2017-08-10

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
I20170810000175IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes54978$0
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes50739$0
96133Evaluation of neuropsychological test, each additional hour33776$0
96116Exam of neurobehavioral status, first hour8080$0
96121Exam of neurobehavioral status, each additional hour8080$0
View full utilization report →

Insurance plans in this area (ZIP 60521)

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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: 6002707262View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL
Clinical PsychologistIL
-IL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JOHN M MCCONNELL (PHD)?
DR. JOHN M MCCONNELL (PHD) — NPI 1174884514 — is the standard way to identify this listing.
Does the file indicate DR. JOHN M MCCONNELL (PHD) is practicing under active NPI?
Directory data currently reports DR. JOHN M MCCONNELL (PHD) as active.
What healthcare role does DR. JOHN M MCCONNELL (PHD) hold?
Scheduling teams often label DR. JOHN M MCCONNELL (PHD) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN M MCCONNELL (PHD) based?
DR. JOHN M MCCONNELL (PHD) is tied to Hinsdale, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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