Organization Active NPI

Michelle a Field MD SC

  • Psychiatry Physician
  • Highland Park, IL
National Provider Identifier
1316035918
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036110377 Issued in IL
Legal business name
MICHELLE A FIELD MD SC
Practice address
887 Bob-O-Link Rd
Highland Park, IL 60035-3913
Phone
(847) 291-1122
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Michelle A Field, M.D., S.C.NPI 1639106693
Title
Psychiatrist
Phone
(847) 291-1122

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036110377 IL Primary

Addresses

Primary practice location

887 Bob-O-Link Rd
Highland Park, IL 60035-3913

Mailing address

887 Bob-O-Link Rd
Highland Park, IL 60035-3913
Phone (847) 291-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000095 IL Part B Supplier - Clinic/Group Practice 6204939655 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Park, IL

National Provider Directory

National Provider Directory

Locations

400 Skokie Blvd
Ste 400
Northbrook, IL 60062
Phone (847) 498-4433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1316035918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 BOB-O-LINK RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353913",
            "telephone_number": "847-291-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 BOB-O-LINK RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353913",
            "telephone_number": "847-291-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A FIELD MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "847-291-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., S.C."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036110377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.