Individual provider Active NPI

Michelle T Frank, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1003259227
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008579 Issued in IL
Practice address
1448 N Milwaukee Ave
Suite 201
Chicago, IL 60622-9225
Phone
(773) 486-4617
Fax
(773) 486-4936
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008579 IL Primary

Addresses

Primary practice location

1448 N Milwaukee Ave
Suite 201
Chicago, IL 60622-9225

Mailing address

14953 S Van Dyke Rd
Plainfield, IL 60544-5804
Phone (815) 609-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 22, 2020 through Apr 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008479ILMDClinical Psychologist
071008579ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sauder Psychology, Inc Clinical PastSince Dec 22, 2019 Accepting new patients
Behavioral Health and Education Specialists Inc Clinical PastSince Jul 1, 2010 Accepting new patients
Bhes Medical Group, LLC Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1003259227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14953 S VAN DYKE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225",
            "telephone_number": "773-486-4617",
            "fax_number": "773-486-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.