STEVEN P JOHNSON (PHD) – Psychologist, NPI 1194724393

STEVEN P JOHNSON (PHD) is a healthcare provider. based in Arlington heights, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071-005462 (IL). The NPI Number for STEVEN P JOHNSON (PHD) is 1194724393

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN P JOHNSON (PHD)
NPI
1194724393
Phone
(847) 508-2926
Address
3405 N KENNICOTT AVE
Enumeration Date
19 July 2005
Last Update Date
28 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475082926
Graduation Year
1996 (30 years ago)
PAC ID
2668468307
Professional Enrollment ID
I20040420001616
Address ID
IL600041470AR3405XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for STEVEN P JOHNSON (PHD)

  • 3405, North Kennicott Avenue, Arlington Heights, Wheeling Township, Cook County, Illinois, 60004, United States

    SUITE B

    ARLINGTON HEIGHTS, IL 600041470

    Phone: (847) 508-2926

    Fax: (847) 368-0764

    Mailing address matches the actual address.

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: 2004-04-20

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
I20040420001616IClinical 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 60004)

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Reviews

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Frequently asked questions

What unique ID ties claims to STEVEN P JOHNSON (PHD)?
NPI 1194724393 is assigned to STEVEN P JOHNSON (PHD) under the national enumeration system.
Is STEVEN P JOHNSON (PHD)'s NPI currently valid?
The extract we use shows STEVEN P JOHNSON (PHD) as active.
What does STEVEN P JOHNSON (PHD) treat or focus on?
Patients typically see STEVEN P JOHNSON (PHD) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEVEN P JOHNSON (PHD)?
The page summarizes Arlington Heights, Illinois for STEVEN P JOHNSON (PHD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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