Michael M Gelbort, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

07100400 Issued in IL

Practice address

2714 Caton Farm Rd
Joliet, IL 60435-1309

Phone

(815) 230-2262

Fax

(815) 230-2444

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael M Gelbort Inc

  • Clinical Neuropsychologist
  • Joliet, IL
  • NPI 1083749451
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295805778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600350437",
            "telephone_number": "815-230-2262",
            "fax_number": "815-230-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 CATON FARM RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351309",
            "telephone_number": "815-230-2262",
            "fax_number": "815-230-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELBORT",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "07100400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00057668",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9904511",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janet Gehrig, LCPC
• Melissa Geibel, CPNP
• Kurt A Gengenbacher, DPT,CSCS
• Genoa Healthcare LLC
• Jacob Richard Genord, DPT
• Gentle Space Wellness and Counseling, PLLC
• George Dephillips

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.