Dr Nick Johnson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in North Chicago, Illinois. His current practice location is
3001 Green Bay Rd, North Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(224) 610-8553.
Dr Nick Johnson is licensed to practice in Illinois (license number 071.007465) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235198532.
Healthcare Provider's Profile
Full Name | Dr Nick Johnson |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 3001 Green Bay Rd, North Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235198532
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890934749
- Enrollment ID: I20130625000628
Medical Identifiers
Medical identifiers for Dr Nick Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235198532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 39001749A (Indiana) | Secondary |
103TC0700X | Psychologist - Clinical | 20042393A (Indiana) | Secondary |
103TC0700X | Psychologist - Clinical | 071.007465 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nick Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nick Johnson, PSYD 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (224) 610-8553 | Dr Nick Johnson, PSYD 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (224) 610-8553 |
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