NPIMap

Individual provider Active NPI

Denise M Johnson-Dechow, DO

  • Psychiatry Physician
  • Galesburg, IL
National Provider Identifier
1477562866
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036096365 Issued in IL
Practice address
834 North Seminary Street
Suite 405
Galesburg, IL 61401
Phone
(309) 344-9444
Fax
(309) 717-0124
NPI assigned
Aug 5, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036096365 IL
Psychiatry Physician 2084P0800X 036096365 IL Primary

Addresses

Primary practice location

834 North Seminary Street
Suite 405
Galesburg, IL 61401

Mailing address

765 N Kellogg St
Suite 205
Galesburg, IL 61401-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000131 IL Practitioner - Psychiatry 0042217622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Mary Medical CenterGroup PAC ID 8628038015, 52 clinicians

Practice addresses (Care Compare)

3375 N Seminary St
Osf Healthcare Medical Group Seminary
Galesburg, IL 61401-1251
Phone (309) 343-5114

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036096365ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center CurrentSince Feb 7, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
St. Mary Medical Center CurrentSince Feb 7, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2021 Accepting new patients
St Mary Medical Center Current Accepting new patients
St Mary Medical Center PastSince Mar 24, 2024 Accepting new patients
St Mary Medical Center Past Accepting new patients
St. Mary's Hospital, Centralia, Illinois Neurology Past Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Past Accepting new patients

Locations

3315 N Seminary St
Ste 206
Galesburg, IL 61401
Phone (309) 344-1000

3375 N Seminary St
Galesburg, IL 61401
Phone (309) 343-5114

834 N Seminary St
Ste 304
Galesburg, IL 61401
Phone (309) 342-2144

834 N Seminary St
Ste 405
Galesburg, IL 61401
Phone 3093435114 ext. 61072

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: ddechow@yourcarecommunity.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1477562866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 N KELLOGG ST",
            "address_2": "SUITE 205",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 NORTH SEMINARY STREET",
            "address_2": "SUITE 405",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "61401",
            "telephone_number": "309-344-9444",
            "fax_number": "309-717-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-DECHOW",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-03-18",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036096365",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036096365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.