DR. STEFANIE ANN LEM (PSYD) – Clinical Psychologist, NPI 1629567185

DR. STEFANIE ANN LEM (PSYD) is a healthcare provider. based in Kankakee, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 071010272 (IL). The NPI Number for DR. STEFANIE ANN LEM (PSYD) is 1629567185

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEFANIE ANN LEM (PSYD)
NPI
1629567185
Phone
(815) 935-0750
Address
375 N WALL ST STE P510
Enumeration Date
9 May 2018
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159330194
Graduation Year
2018 (8 years ago)
PAC ID
4587085857
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20200522002015
Address ID
IL609013493KA375XXSTXX401

Contacts

Secure Messaging
slem25650@Direct.riversidehealthcare.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. STEFANIE ANN LEM (PSYD)

  • 375 N WALL ST STE P510

    KANKAKEE, IL 609013492

    Phone: (815) 935-0750

    Fax: (815) 937-8797

    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: 2020-05-22

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
I20200522002015IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96133Evaluation of neuropsychological test, each additional hour25170$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes23056$0
96116Exam of neurobehavioral status, first hour7070$0
96132Evaluation of neuropsychological test, first hour7070$0
96136Administration of psychological or neuropsychological test, first 30 minutes7070$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

What NPI should I save for DR. STEFANIE ANN LEM (PSYD)?
Save NPI 1629567185 if you need a stable reference for DR. STEFANIE ANN LEM (PSYD).
Is DR. STEFANIE ANN LEM (PSYD) currently active in the NPI registry?
CMS-published data lists DR. STEFANIE ANN LEM (PSYD) as an active registrant.
What kind of provider is DR. STEFANIE ANN LEM (PSYD)?
The page reflects Clinical Psychologist for DR. STEFANIE ANN LEM (PSYD). Clinical services aligned with this taxonomy classification.
What location shows for DR. STEFANIE ANN LEM (PSYD)?
We surface Kankakee, Illinois for DR. STEFANIE ANN LEM (PSYD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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