BIOPSYCHTECH OF CHICAGO, LTD – Psychologist, NPI 1407040942
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BIOPSYCHTECH OF CHICAGO, LTD
West, Shelby Charter Township, Macomb County, Michigan, 48315, United States
MICHIGAN CITY, IN 463609584
Phone: (312) 907-3644
Fax: (219) 879-2525
Type: Mailing
333, North Michigan Avenue, New East Side, Chicago, Cook County, Illinois, 60601, United States
STE 1801
CHICAGO, IL 606013901
Phone: (312) 907-3644
Fax: (219) 879-2525
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: 2007-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (255 days ago).
Enrollment records
2
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20071016000000 | O | Clinic/Group Practice | IN | 2025-09-30 |
| O20071129000304 | O | Clinic/Group Practice | IL | TBD |
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 46360)
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