Active NPI
Michelle Progar, PSYD
- Psychologist
- Gurnee, IL
National Provider Identifier
1255565610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 178006093
- Practice address
- 495 N Riverside Dr Ste 208
Gurnee, IL 60031-5920 - Phone
- (224) 208-5228
- NPI assigned
- May 13, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 178006093 | IL | Primary |
Addresses
Primary practice location
495 N Riverside Dr Ste 208
Gurnee, IL 60031-5920
Mailing address
495 N Riverside Dr Ste 208
Gurnee, IL 60031-5920
Phone (224) 208-5228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178006093 | IL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifepoint Child & Family Therapy LTD | Past | Accepting new patients |
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.
-
- Professional Counselor
- Gurnee, IL
- NPI 1649739152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255565610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 N RIVERSIDE DR STE 208",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315920",
"telephone_number": "224-208-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 N RIVERSIDE DR STE 208",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315920",
"telephone_number": "224-208-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROGAR",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "178006093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.