DR. MICHAEL CHARLES SMITH (PH.D.) – Clinical Psychologist, NPI 1215062419
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
Provider Addresses for DR. MICHAEL CHARLES SMITH (PH.D.)
119 N WALNUT ST
ELMHURST, IL 601262633
Phone: (630) 574-9084
Fax: (630) 782-6069
Type: Mailing
210 W 22ND ST
SUITE 119
OAK BROOK, IL 605231544
Phone: (630) 574-9084
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.
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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: 2016-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160729002197 | I | Clinical Psychologist | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 97 | 29 | $0 |
| 90837 | Psychotherapy, 1 hour | 87 | 16 | $0 |
| 90834 | Psychotherapy, 45 minutes | 39 | 16 | $0 |
Insurance plans in this area (ZIP 60126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| Occupational Therapist In Private Practice | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| Clinical Social Worker | IL | |
| O P T O M E T R Y | IL |
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