DR. PAUL C KREDOW (PSY.D.) – Clinical Psychologist, NPI 1871502856
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
Provider Addresses for DR. PAUL C KREDOW (PSY.D.)
400 SKOKIE BLVD STE 245
NORTHBROOK, IL 600627932
Phone: (847) 446-4617
Fax: (847) 446-4673
Type: Location
2, Northfield Plaza, Northfield, Atlantic County, New Jersey, 08225, United States
SUITE #100
NORTHFIELD, IL 600931294
Phone: (847) 446-4617
Fax: (847) 446-4673
Type: Location
570, Frontage Road, Northfield, Northfield Township, Cook County, Illinois, 60093, United States
TWO NORTHFIELD PLAZA SUITE #100
NORTHFIELD, IL 600931217
Phone: (847) 446-4617
Fax: (847) 446-4673
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.
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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: 2006-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060405000563 | I | Clinical Psychologist | IL | 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 60062)
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