Individual provider Active NPI

Michael J Zakalik, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1164738548
Registry record updated Aug 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009039 Issued in IL
Practice address
2027 W Division St Ste 243
Chicago, IL 60622-9024
Phone
(773) 234-1835
NPI assigned
Aug 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 071009039 IL
Clinical Psychologist 103TC0700X 071009039 IL Primary

Addresses

Primary practice location

2027 W Division St Ste 243
Chicago, IL 60622-9024

Mailing address

2027 W Division St Ste 243
Chicago, IL 60622-9024
Phone (773) 665-8052

Other practice location 1

1010 Lake St Ste 500
Oak Park, IL 60301-1135
Phone (773) 665-8052 ext. 206

Other practice location 2

2222 N Kedzie Blvd
Chicago, IL 60647-2504
Phone (773) 665-8052 ext. 4

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
I20161006001477 IL Practitioner - Clinical Psychologist 0143518142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smart Love Parenting CenterGroup PAC ID 8729261011, 11 clinicians

Practice addresses (Care Compare)

1010 Lake St
Oak Park, IL 60301-1135
Phone (773) 665-8052

800 W Buena Ave
Chicago, IL 60613-6230
Phone (773) 665-8052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Love Parenting Center CurrentSince Aug 2, 2016 Accepting new patients
Dr. Michael Zakalik, PLLC Clinical CurrentSince Apr 17, 2022 Accepting new patients

Locations

2222 N Kedzie Blvd
Chicago, IL 60647
Phone 7736658052 ext. 4

800 W Buena Ave
Chicago, IL 60613
Phone (773) 327-6000

1010 Lake St
Ste 500
Oak Park, IL 60301
Phone (708) 524-8600

610 S Maple Ave
Ste 3400
Oak Park, IL 60304
Phone (708) 660-4300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1164738548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 W DIVISION ST STE 243",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229024",
            "telephone_number": "773-665-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 W DIVISION ST STE 243",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229024",
            "telephone_number": "773-234-1835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Lake St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011135",
            "country_code": "US",
            "telephone_number": "773-665-8052 x206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 N Kedzie Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606472504",
            "country_code": "US",
            "telephone_number": "773-665-8052 x4",
            "fax_number": "708-660-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKALIK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2022-08-28",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071009039",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.