PATRICIA L ROY (MD) – Psychiatry Physician, NPI 1184636474

PATRICIA L ROY (MD) is a healthcare provider. based in Kankakee, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. R0649 (TX). The NPI Number for PATRICIA L ROY (MD) is 1184636474

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA L ROY (MD)
NPI
1184636474
Phone
(815) 937-1237
Address
500 N WALL ST
Enumeration Date
13 August 2006
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8884287890
Graduation Year
1991 (35 years ago)
PAC ID
4385738830
Group Practice PAC ID
3971963901
Professional Enrollment ID
I20070914000556
Address ID
IL600611454VE175XXPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness75
Years active:19State licenses:13Digital endpointsOther names

1,367 PSYCHIATRY in IL

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Provider Addresses for PATRICIA L ROY (MD)

  • North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE 200

    KANKAKEE, IL 609012942

    Phone: (815) 937-1237

    Fax: (815) 933-0662

    Type: Mailing

  • 500, North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE 200

    KANKAKEE, IL 60901

    Phone: (815) 937-1237

    Fax: (815) 933-0662

    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: 2007-09-14

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
I20070914000556IPsychiatryILTBD

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 60901)

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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: 3971963901View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL
Mental Health CounselorIL
Nurse PractitionerIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical Social WorkerNM
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference PATRICIA L ROY (MD)?
For PATRICIA L ROY (MD), use NPI 1184636474 as the unique 10-digit identifier.
Would PATRICIA L ROY (MD) appear as active to a payer?
You can treat PATRICIA L ROY (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is PATRICIA L ROY (MD)?
PATRICIA L ROY (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PATRICIA L ROY (MD) located near Kankakee?
PATRICIA L ROY (MD) currently maps to Kankakee, Illinois in this extract.
Can I trust this NPI listing for PATRICIA L ROY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.