Individual provider Active NPI

Michael Dennis Atella, PH.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1104049287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
651 South Roselle Road
Suite 203
Schaumburg, IL 60193-3187
Phone
(847) 584-0653
Fax
(847) 301-9257
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

651 South Roselle Road
Suite 203
Schaumburg, IL 60193-3187

Mailing address

651 S Roselle Rd
Suite 203
Schaumburg, IL 60193-3187
Phone (847) 584-0653

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
I20080505000091 IL Practitioner - Clinical Psychologist 4082793997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 1400
Chicago, IL 60602-3693
Phone (847) 772-6994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071005163ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atella & Associates, LTD. Clinical CurrentSince May 5, 2008 Accepting new patients

Locations

30 N Michigan Ave
Ste 1920
Chicago, IL 60602
Phone (312) 263-4368

30 N Michigan Ave
Ste 1400
Chicago, IL 60602
Phone (312) 346-2575

651 S Roselle Rd
Ste 203
Schaumburg, IL 60193
Phone (847) 208-1705

Organizations & group practices 1

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104049287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S ROSELLE RD",
            "address_2": "SUITE 203",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933187",
            "telephone_number": "847-584-0653",
            "fax_number": "847-301-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SOUTH ROSELLE ROAD",
            "address_2": "SUITE 203",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933187",
            "telephone_number": "847-584-0653",
            "fax_number": "847-301-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATELLA",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.