DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) – Clinical Psychologist, NPI 1639451057

DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) is a healthcare provider. based in Bolingbrook, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials R.N., M.A., PSY.D. They hold a License No. 071.009361 (IL). The NPI Number for DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) is 1639451057

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D)
NPI
1639451057
Phone
(310) 400-2520
Address
880 BLUESTEM DR
Enumeration Date
12 September 2011
Last Update Date
27 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303572456
Graduation Year
2012 (14 years ago)
PAC ID
3173995206
Group Practice PAC ID
8426014994
Professional Enrollment ID
I20230217001299
Address ID
IL605401130NA1819XCIRX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D)

  • 880 BLUESTEM DR

    BOLINGBROOK, IL 604404219

    Phone: (310) 400-2520

    Type: Mailing

  • 1819 BAY SCOTT CIR STE 109

    NAPERVILLE, IL 605401130

    Phone: (630) 357-2456

    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: 2023-02-17

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
I20230217001299IClinical 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 60440)

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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: 8426014994View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
Clinical PsychologistIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical PsychologistOH
P S Y C H I A T R YIL
Clinical Social WorkerIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How is DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) identified in CMS data?
CMS-hosted NPPES data lists DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) with NPI 1639451057.
Does the file indicate DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) is practicing under active NPI?
Directory data currently reports DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) as active.
What is DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D)'s primary classification?
Clinical Psychologist is the headline specialty for DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) here. Clinical services aligned with this taxonomy classification.
Does DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) list a practice location?
Patients near Bolingbrook, Illinois may find DR. GENALIN GO NIERE-METCALF (R.N., M.A., PSY.D) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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