Neuropsychiatric Health Connection – Prescribing (Medical) Psychologist, NPI 1679772479

Neuropsychiatric Health Connection is a healthcare provider. based in Skokie, Illinois. specializing in Prescribing (Medical) Psychologist. The organization holds a License No. 042618878 (IL). The NPI Number for Neuropsychiatric Health Connection is 1679772479

Main info

Organization
Name
Neuropsychiatric Health Connection
NPI
1679772479
Phone
(847) 324-4300
Address
4905 OLD ORCHARD CTR
Authorized Official
DR. MIROSLAW JAN WALO PRESIDENT M.D.
Enumeration Date
12 July 2007
Last Update Date
24 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Neuropsychiatric Health Connection

  • 4905 OLD ORCHARD CTR

    STE 428

    SKOKIE, IL 600771458

    Phone: (847) 324-4300

    Fax: (847) 324-4303

    Type: Location

  • 1737 WINNETKA AVE

    NORTHFIELD, IL 600933318

    Phone: (847) 324-4300

    Fax: (847) 324-4303

    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: 2004-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (775 days ago).

Enrollment records

1

Earliest due date

2024-04-30

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
O20040228000232OClinic/Group PracticeIL2024-04-30

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.

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 60077)

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Reviews

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Frequently asked questions

Where can patients find Neuropsychiatric Health Connection's NPI?
You can confirm Neuropsychiatric Health Connection with NPI 1679772479; it appears in the national provider directory.
Is Neuropsychiatric Health Connection active in the national directory?
Neuropsychiatric Health Connection's public NPI profile is in an active state.
What field does Neuropsychiatric Health Connection work in?
You can think of Neuropsychiatric Health Connection as practicing within Prescribing (Medical) Psychologist. Clinical services aligned with this taxonomy classification.
Does Neuropsychiatric Health Connection practice in Illinois?
You will see Skokie, Illinois on file for Neuropsychiatric Health Connection alongside any extra practice locations.
How can I contact Neuropsychiatric Health Connection?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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