DR. MARK DRISCOLL (PH.D.) – Psychologist, NPI 1497122188

DR. MARK DRISCOLL (PH.D.) is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. The NPI Number for DR. MARK DRISCOLL (PH.D.) is 1497122188

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK DRISCOLL (PH.D.)
NPI
1497122188
Phone
Not provided
Address
8 S MICHIGAN AVE
Enumeration Date
28 August 2015
Last Update Date
28 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477334300
Graduation Year
2011 (15 years ago)
PAC ID
0446541742
Group Practice PAC ID
1052460466
Professional Enrollment ID
I20160616001025
Address ID
IL606033307CH8XXXXAVEX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. MARK DRISCOLL (PH.D.)

  • 8 S MICHIGAN AVE

    SUITE 500

    CHICAGO, IL 606033357

    Phone:

    Type: Mailing

  • 618 LIBRARY PL

    EVANSTON, IL 602012908

    Phone: (847) 733-4300

    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: 2016-06-16

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
I20160616001025IClinical 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 60603)

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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: 1052460466View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical PsychologistIL
-IL

Reviews

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Frequently asked questions

Is there an official ID for DR. MARK DRISCOLL (PH.D.) in U.S. healthcare records?
The official identifier for DR. MARK DRISCOLL (PH.D.) is NPI 1497122188.
Is DR. MARK DRISCOLL (PH.D.) still an active registrant?
DR. MARK DRISCOLL (PH.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. MARK DRISCOLL (PH.D.)?
DR. MARK DRISCOLL (PH.D.) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MARK DRISCOLL (PH.D.) located near Chicago?
DR. MARK DRISCOLL (PH.D.) currently maps to Chicago, Illinois in this extract.
Does DR. MARK DRISCOLL (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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