Active NPI
Linda L. Michaels, PSYD, Mba, PLLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1285057216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008703
- Legal business name
- LINDA L. MICHAELS, PSYD, MBA, PLLC
- Practice address
- 645 N Michigan Ave
Ste 803
Chicago, IL 60611-2826 - Phone
- (312) 612-0444
- NPI assigned
- Jan 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Michaels, PSYD, MBA
- Title
- Founder
- Phone
- (312) 612-0444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008703 | IL | Primary |
Addresses
Primary practice location
645 N Michigan Ave
Ste 803
Chicago, IL 60611-2826
Mailing address
645 N Michigan Ave
Ste 803
Chicago, IL 60611-2826
Phone (312) 612-0444
National Provider Directory
National Provider DirectoryLocations
645 N Michigan Ave
Ste 803
Chicago, IL 60611
Phone (312) 612-0444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1942533286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1285057216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 N MICHIGAN AVE",
"address_2": "STE 803",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112826",
"telephone_number": "312-612-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 N MICHIGAN AVE",
"address_2": "STE 803",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112826",
"telephone_number": "312-612-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA L. MICHAELS, PSYD, MBA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-27",
"last_updated": "2024-07-23",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "MICHAELS",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "312-612-0444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD, MBA"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.