DR. MARTIN JR. MCCARTHY (PH.D.) – Psychologist, NPI 1588891592

DR. MARTIN JR. MCCARTHY (PH.D.) is a healthcare provider. based in Lake bluff, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 071.003813 (IL). The NPI Number for DR. MARTIN JR. MCCARTHY (PH.D.) is 1588891592

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTIN JR. MCCARTHY (PH.D.)
NPI
1588891592
Phone
(847) 604-4040
Address
129 WELWYN ST
Enumeration Date
17 June 2009
Last Update Date
8 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478680310
Graduation Year
1981 (45 years ago)
PAC ID
2769516038
Group Practice PAC ID
0648364604
Professional Enrollment ID
I20100823000617
Address ID
IL602013881EV708XXSTXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,603 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. MARTIN JR. MCCARTHY (PH.D.)

  • 129 WELWYN ST

    LAKE BLUFF, IL 600441151

    Phone: (847) 604-4040

    Type: Mailing

  • 708, Church Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    SUITE 216

    EVANSTON, IL 602013875

    Phone: (847) 721-2640

    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: 2010-08-23

PECOS data refreshed: 2026-06-15

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
I20100823000617IClinical 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 60044)

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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: 0648364604View full group profile
NameSpecialtyState
Clinical PsychologistIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

What number should I use to identify DR. MARTIN JR. MCCARTHY (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1588891592 for DR. MARTIN JR. MCCARTHY (PH.D.).
Is DR. MARTIN JR. MCCARTHY (PH.D.)'s NPI status active today?
Active status means DR. MARTIN JR. MCCARTHY (PH.D.)'s NPI record is not deactivated in the public file.
What services align with DR. MARTIN JR. MCCARTHY (PH.D.)'s listing?
DR. MARTIN JR. MCCARTHY (PH.D.)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. MARTIN JR. MCCARTHY (PH.D.) tied to Lake Bluff, Illinois?
If you are local to Lake Bluff, Illinois, DR. MARTIN JR. MCCARTHY (PH.D.) may be relevant to your search.
Can I export DR. MARTIN JR. MCCARTHY (PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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