DR. MORTON CHESTER MIRMAN (PH.D.) – Clinical Psychologist, NPI 1891733853

DR. MORTON CHESTER MIRMAN (PH.D.) is a healthcare provider. based in Northbrook, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 071003339 (IL). The NPI Number for DR. MORTON CHESTER MIRMAN (PH.D.) is 1891733853

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MORTON CHESTER MIRMAN (PH.D.)
NPI
1891733853
Phone
(847) 209-1515
Address
910 SKOKIE BLVD
Enumeration Date
3 June 2006
Last Update Date
27 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474800300
Graduation Year
1984 (42 years ago)
PAC ID
0345323895
Group Practice PAC ID
1254478514
Professional Enrollment ID
I20080207000336
Address ID
IL600624033NO910XXBLVD303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Loading map...

Provider Addresses for DR. MORTON CHESTER MIRMAN (PH.D.)

  • 910, Skokie Boulevard, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States

    SUITE 215

    NORTHBROOK, IL 600624013

    Phone: (847) 209-1515

    Fax: (847) 291-0576

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2008-02-07

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
I20080207000336IClinical 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 60062)

Loading plans...

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: 1254478514View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
-IL
Mental Health CounselorIL
Clinical PsychologistIL
Marriage And Family TherapistIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. MORTON CHESTER MIRMAN (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MORTON CHESTER MIRMAN (PH.D.) with NPI 1891733853.
Does CMS list DR. MORTON CHESTER MIRMAN (PH.D.) as active?
Yes — DR. MORTON CHESTER MIRMAN (PH.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. MORTON CHESTER MIRMAN (PH.D.)?
For research purposes, treat DR. MORTON CHESTER MIRMAN (PH.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MORTON CHESTER MIRMAN (PH.D.) based?
DR. MORTON CHESTER MIRMAN (PH.D.) is tied to Northbrook, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DR. LYNNE H SHEBAN (PH.D.)

Clinical Psychologist
2861, Shannon Court, White Plains, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States
NPI: 1245220920
2509, Virginia Lane, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States
NPI: 1346214442

JOEL MARTIN GRONER (PSYD)

Clinical Psychologist
Dundee Road, Fair Meadows, Northbrook, Cook County, Illinois, 60062, United States
NPI: 1407817679
3330 DUNDEE RD STE N4A
NPI: 1801852488

DR. ROBERT L. DAVENPORT (PH.D.)

Clinical Psychologist
Lake Cook Road, Lee Acres, Northbrook, Cook County, Illinois, 60015, United States of America
NPI: 1902855356

MICHAEL J DI DOMENICO (PSYD)

Clinical Neuropsychologist
PO BOX 472
NPI: 1861442345

RICK TIVERS & ASSOCIATES

Clinical Psychologist
633, Skokie Boulevard, Northfield Township, Cook County, Illinois, 60062, United States
NPI: 1639120587

The Center For Divorce Recovery

Clinical Psychologist
910, Skokie Boulevard, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States
NPI: 1003868472

MICHELLE CHABAN, P.C.

Clinical Psychologist
707 LAKE COOK RD STE 105
NPI: 1437105061