Active NPI
Michelle A. Epstein, PH.D.
- Clinical Psychologist
- Deerfield, IL
National Provider Identifier
1124243506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20041561A
- Practice address
- 155 N Pfingsten Rd Ste 350
Deerfield, IL 60015-5636 - Phone
- (847) 702-8777
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20041561A | IN | Primary |
Addresses
Primary practice location
155 N Pfingsten Rd Ste 350
Deerfield, IL 60015-5636
Mailing address
155 N Pfingsten Rd Ste 350
Deerfield, IL 60015-5636
Phone (847) 702-8777
Other practice location 1
10585 N Meridian St Ste 340
Indianapolis, IN 46290-1129
Phone (317) 580-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 10, 2022 through May 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20041561A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124243506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N PFINGSTEN RD STE 350",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155636",
"telephone_number": "847-702-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N PFINGSTEN RD STE 350",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155636",
"telephone_number": "847-702-8777"
}
],
"practiceLocations": [
{
"address_1": "10585 N Meridian St Ste 340",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462901129",
"country_code": "US",
"telephone_number": "317-580-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EPSTEIN",
"first_name": "MICHELLE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20041561A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.