DR. MARIE ELIZABETH JOHNSON (PSY.D.) – Clinical Psychologist, NPI 1760491997

DR. MARIE ELIZABETH JOHNSON (PSY.D.) is a healthcare provider. based in Glen ellyn, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071-006872 (IL). The NPI Number for DR. MARIE ELIZABETH JOHNSON (PSY.D.) is 1760491997

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIE ELIZABETH JOHNSON (PSY.D.)
NPI
1760491997
Phone
(630) 469-0162
Address
22W245 HACKBERRY DR
Enumeration Date
5 August 2006
Last Update Date
19 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
1355359340
Professional Enrollment ID
I20060404000174
Address ID
IL601377348GL22XXXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. MARIE ELIZABETH JOHNSON (PSY.D.)

  • 22W245 HACKBERRY DR

    GLEN ELLYN, IL 601377348

    Phone: (630) 469-0162

    Fax: (630) 469-0536

    Type: Mailing

  • 1010, Jorie Boulevard, Oak Brook, DuPage County, Illinois, 60523, United States

    SUITE 246

    OAK BROOK, IL 605231234

    Phone: (630) 415-3455

    Fax: (630) 469-0536

    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: 2006-04-04

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
I20060404000174IClinical 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
90837Psychotherapy, 1 hour31617$0
View full utilization report →

Insurance plans in this area (ZIP 60137)

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Frequently asked questions

What is DR. MARIE ELIZABETH JOHNSON (PSY.D.)'s NPI number?
DR. MARIE ELIZABETH JOHNSON (PSY.D.)'s NPI is 1760491997 — the number used across U.S. healthcare to identify this provider.
Would DR. MARIE ELIZABETH JOHNSON (PSY.D.) appear as active to a payer?
You can treat DR. MARIE ELIZABETH JOHNSON (PSY.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. MARIE ELIZABETH JOHNSON (PSY.D.)'s focus?
For DR. MARIE ELIZABETH JOHNSON (PSY.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. MARIE ELIZABETH JOHNSON (PSY.D.) registered?
Use Glen Ellyn, Illinois as the headline location for DR. MARIE ELIZABETH JOHNSON (PSY.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.