Active NPI
Michelle Helen Krupa, PSYD
- Psychologist
- Buffalo Grove, IL
National Provider Identifier
1295423184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1100 W Lake Cook Rd # 210
Buffalo Grove, IL 60089-2083 - Phone
- (847) 979-0268
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1100 W Lake Cook Rd # 210
Buffalo Grove, IL 60089-2083
Mailing address
1100 W Lake Cook Rd # 210
Buffalo Grove, IL 60089-2083
Phone (847) 979-0268
Other names 1
- Dr. Michelle Helen Okolita
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Psychological Healthcare, S.C. | Current | Accepting new patients | |
| Marianna Tsaran MD SC | Past | Accepting new patients |
Locations
1100 W Lake Cook Rd
Ste 210
Buffalo Grove, IL 60089
Phone (847) 979-0268
2551 N Clark St
Ste 300
Chicago, IL 60614
Phone (847) 979-0268
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buffalo Grove, IL
- NPI 1902287923
-
- Specialist
- Arlington Heights, IL
- NPI 1134283203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1295423184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W LAKE COOK RD # 210",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892083",
"telephone_number": "847-979-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W LAKE COOK RD # 210",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892083",
"telephone_number": "847-979-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPA",
"first_name": "MICHELLE",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "OKOLITA",
"middle_name": "HELEN",
"prefix": "DR.",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.