DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) – Clinical Psychologist, NPI 1457722506

DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) is a healthcare provider. based in Maywood, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071009131 (IL). The NPI Number for DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) is 1457722506

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH BRENNAN SIMMONS (PSY.D.)
NPI
1457722506
Phone
(847) 804-2409
Address
2160 S 1ST AVE
Enumeration Date
15 October 2015
Last Update Date
3 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
2014 (12 years ago)
PAC ID
3779884978
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20151211002365
Address ID
IL601533328MA2160XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
esimmons59389@direct.luhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. ELIZABETH BRENNAN SIMMONS (PSY.D.)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (847) 804-2409

    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: 2015-12-11

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
I20151211002365IClinical 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 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

Is DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) listed with a National Provider Identifier?
Yes — DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) has NPI 1457722506 on file in the registry.
Active or inactive — what applies to DR. ELIZABETH BRENNAN SIMMONS (PSY.D.)?
You should see DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. ELIZABETH BRENNAN SIMMONS (PSY.D.)?
DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ELIZABETH BRENNAN SIMMONS (PSY.D.)?
Directory geography for DR. ELIZABETH BRENNAN SIMMONS (PSY.D.) centers on Maywood, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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