Michele Womontree, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007307 Issued in IL

Practice address

11191 Illinois RT 185
Hillsboro, IL 62049

Phone

(217) 532-2001

Fax

(217) 532-2089

NPI assigned

Sep 25, 2017

Last updated

Sep 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1003325887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11191 ILLINOIS RT 185",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "62049",
            "telephone_number": "217-502-6039",
            "fax_number": "217-532-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11191 ILLINOIS RT 185",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "62049",
            "telephone_number": "217-532-2001",
            "fax_number": "217-532-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMONTREE",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart Allison Wetzel, CRNA
• Sarah Elizabeth White, FNP-BC
• Christopher David Whitten, MPT, ATC
• Walter R. Williams, M.D.
• Katie Wollerman
• Jill Wright, M.A.,C.A.D.C.,L.P.C.
• Jensine P Wyant, LSW
• Brandi Almedia Young, LSW
• Dawn Young
• Zumwalt Hillsboro Chiropractic Clinic

• Clinical Psychologist in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.