DR. JOSEPH JOHN DIVINCENZO (MD) – Psychiatry Physician, NPI 1740201425
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for DR. JOSEPH JOHN DIVINCENZO (MD)
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
205 S Front St Fl 5
Harrisburg, PA 171041619
Phone: (717) 231-8360
Fax: (717) 231-8358
Type: Location
515 22nd Ave
Monroe, WI 535661569
Phone: (608) 324-1454
Type: Location
1369 Old York Rd
Abington, PA 190013411
Phone: (215) 884-1776
Fax: (215) 884-0171
Type: Location
20201 Crawford Ave
Olympia Fields, IL 604611010
Phone: (219) 866-5141
Fax: (708) 679-2161
Type: Location
130 S Bryn Mawr Ave
Bryn Mawr, PA 190103121
Phone: (484) 337-4286
Type: Location
Old York Road, Mount Vernon Gardens, Abington, Abington Township, Montgomery County, Pennsylvania, 19001, United States
ABINGTON, PA 190013411
Phone: (215) 884-1776
Fax: (215) 884-0171
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.
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: 2024-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20031105000710 | I | Psychiatry | PA | TBD |
| I20210330000355 | I | Psychiatry | NJ | TBD |
| I20220310001108 | I | Psychiatry | IL | TBD |
| I20220503001284 | I | Psychiatry | WI | TBD |
| I20230411000468 | I | Psychiatry | NC | TBD |
| I20240111004406 | I | Psychiatry | NY | TBD |
| I20241203002010 | I | Psychiatry | MD | TBD |
| I20241212003447 | I | Psychiatry | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Clinical Psychologist | WI | |
| - | WI | |
| P A T H O L O G Y | IL | |
| - | LA | |
| Emergency Medicine | WI | |
| A N E S T H E S I O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WI |
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