Individual provider Active NPI

Michael Ralph Scherer, PHD

  • Psychologist
  • Orland Park, IL
National Provider Identifier
1053368936
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071006893 Issued in IL
Practice address
10640 W 165TH Street
Orland Park, IL 60467-5653
Phone
(708) 364-0261
Fax
(708) 364-6019
NPI assigned
May 27, 2006
Last updated
May 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071006893 IL Primary

Addresses

Primary practice location

10640 W 165TH Street
Orland Park, IL 60467-5653

Mailing address

10640 W 165TH Street
Orland Park, IL 60467-5653
Phone (708) 364-0261

Other identifiers 1

IdentifierTypeStateIssuer
071006893OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000976 IL Practitioner - Clinical Psychologist 4880613900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sigma Health PCGroup PAC ID 2961305693, 22 clinicians

Practice addresses (Care Compare)

10640 W 165TH St
Orland Park, IL 60467-8734
Phone (708) 364-0261

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Sleep Medicine LLC CurrentSince May 22, 2022 Accepting new patients
Sigma Health PC CurrentSince Aug 4, 2005 Accepting new patients

Locations

680 N Lake Shore Dr
Chicago, IL 60611
Phone (312) 503-6000

680 N Lake Shore Dr
Ste 1210
Chicago, IL 60611
Phone (312) 587-3765

2501 Compass Rd
Ste 105
Glenview, IL 60026
Phone (847) 535-6900

900 Technology Way
Ste 120
Libertyville, IL 60048
Phone (847) 231-4721

10640 165th St
Orland Park, IL 60467

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1053368936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 W 165TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675653",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 W 165TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675653",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERER",
        "first_name": "MICHAEL",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "071006893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.