NPIMap

Denise M Johnson-Dechow, DO

Individual provider Active NPI Psychiatry Physician · Galesburg, IL

NPI 1477562866 · NPPES record last updated Mar 18, 2024

Key facts

NPI
1477562866
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
036096365 (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
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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

Hospital & facility affiliations 3

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

Medicare Care Compare profile

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 Center (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

  • Western Ill Home HLTH Care in Home health agency · Monmouth, IL · CCN 147204
  • St Mary Medical Center Hospital · Galesburg, IL · CCN 140064
  • Osf Holy Family Medical Center Hospital · Monmouth, IL · CCN 141318
  • Saint Francis Medical Center Hospital · Peoria, IL · CCN 140067

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036096365ILMDNeurology Physician

Practice roles

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

Locations

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

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 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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
036096365MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096365",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

All providers in Galesburg, IL · Psychiatry Physician in Illinois

Sources for this page

Verify at the official NPI Registry.