CONVENTIONS PSYCHIATRY & COUNSELING, P.C. – Psychiatry Physician, NPI 1053355289
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CONVENTIONS PSYCHIATRY & COUNSELING, P.C.
4 SOUTH 100 RT. 59
UNIT 6
NAPERVILLE, IL 60563
Phone: (630) 416-8289
Fax: (630) 416-8306
Type: Mailing
640 S Washington St Ste 212
Naperville, IL 605406789
Phone: (630) 416-8289
Fax: (630) 416-8306
Type: Location
125 S Wilke Rd Ste 200G
Arlington Heights, IL 600051522
Phone: (630) 416-8289
Fax: (630) 416-8306
Type: Location
4300 WEAVER PKWY STE 100A
WARRENVILLE, IL 605553920
Phone: (630) 416-8289
Fax: (630) 416-8306
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: 2004-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (648 days ago).
Enrollment records
1
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20040204000854 | O | Clinic/Group Practice | IL | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60563)
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