MICHAEL J INGERSOLL (PSY.D) – Clinical Psychologist, NPI 1487630737
Clinical Psychologist
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NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
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Provider Addresses for MICHAEL J INGERSOLL (PSY.D)
909, East Palatine Road, Palatine Dental Associates, Palatine, Palatine Township, Cook County, Illinois, 60074, United States
PALATINE, IL 600745551
Phone: (847) 776-1400
Fax: (847) 776-1424
Type: Mailing
640 S WASHINGTON ST
NAPERVILLE, IL 605406603
Phone: (815) 942-6323
Fax: (815) 942-6363
Type: Location
PO BOX 713260
CHICAGO, IL 606770018
Phone: (630) 469-9200
Type: Mailing
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: 2004-06-08
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 |
|---|---|---|---|---|
| I20040608000574 | 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 |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 146 | 34 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 47 | 47 | $0 |
Insurance plans in this area (ZIP 60074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Radiation Oncology | IL | |
| Internal Medicine | IL | |
| Physical Therapist In Private Practice | IL | |
| Family Practice | IL | |
| P S Y C H I A T R Y | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Geriatric Medicine | IL | |
| Nurse Practitioner | IL |
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