Dr Michael Fletcher PSYD LCPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.009405 Issued in IL

Legal business name

DR MICHAEL FLETCHER PSYD LCPC

Practice address

8700 Skokie Blvd Ste 207
Skokie, IL 60077-2279

Phone

(847) 673-8577

Fax

(847) 568-0411

NPI assigned

Jan 31, 2015

Last updated

Jan 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael FletcherNPI 1063802874

Title

Director

Phone

(847) 219-9286

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Andrew Fletcher, PSY.D., LCPC

  • Mental Health Counselor
  • Skokie, IL
  • NPI 1063802874
  NPD (past) Authorized official

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1144610957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W MEADOW MIST LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600734271",
            "telephone_number": "847-219-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SKOKIE BLVD STE 207",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772279",
            "telephone_number": "847-673-8577",
            "fax_number": "847-568-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL FLETCHER PSYD LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-219-9286",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.009405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Becker Doroshow, D.D.S.
• Cynthia Denise Doucette, AM, LCSW
• Eve M Doucette, M.D.
• Tatiana Claudia Doyle, M.D.
• Dr Diagnostic Inc
• Dr Piergies, LTD
• Dr. Carl a-M Leonard, DDS, PC (Dental Reconstruction Center)
• Dr. Zasso & Associates (Skokie), LTD. (DentalWorks of Skokie)
• Dr.Constantine Bruns
• Dr.Constantine Bruns PC

• Community/Behavioral Health Agency in Skokie, IL
• Providers in Skokie, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.