Individual provider Active NPI

Michelle Helen Krupa, PSYD

  • Psychologist
  • Buffalo Grove, IL
National Provider Identifier
1295423184
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew patients
Progressive Psychological Healthcare, S.C. CurrentSince Apr 30, 2023 Accepting new patients
Marianna Tsaran MD SC PastSince Apr 30, 2023 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.

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.

Verify at the official NPI Registry.