Michelle C. Delehant, PH.D., Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071005378 Issued in IL

Legal business name

MICHELLE C. DELEHANT, PH.D., INC.

Practice address

9990 W 190TH St Ste a
Mokena, IL 60448-8189

Phone

(815) 469-6730

NPI assigned

Feb 17, 2009

Last updated

Aug 31, 2021By 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. Michelle Clare Delehant, PH.D.NPI 1528043379

Title

President

Phone

(815) 469-6730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Michelle C Delehant, PHD

  • Clinical Neuropsychologist
  • Mokena, IL
  • NPI 1528043379
  Medicare reassignment NPD Authorized official
• Lynda Gayle Swan-McClendon, LCSW

  • Social Worker
  • Merrionette Park, IL
  • NPI 1932938206
  Medicare reassignment NPD

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1235378126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 W 190TH ST STE A",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488189",
            "telephone_number": "815-469-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 W 190TH ST STE A",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488189",
            "telephone_number": "815-469-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE C. DELEHANT, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "DELEHANT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-469-6730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071005378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Mokena, IL
• Providers in Mokena, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.