Active NPI
Michelle Kalnasy Powell, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1376929315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009486
- Practice address
- 53 W Jackson Blvd Ste 662
Chicago, IL 60604-3452 - Phone
- (240) 298-4110
- NPI assigned
- Jul 31, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009486 | IL | Primary |
Addresses
Primary practice location
53 W Jackson Blvd Ste 662
Chicago, IL 60604-3452
Mailing address
425 S Oak Park Ave Apt B
Oak Park, IL 60302-4907
Phone (240) 298-4110
Other practice location 1
4124 N Lincoln Ave
Suite 1
Chicago, IL 60618-3286
Phone (773) 569-1426
Other practice location 2
25 E Washington St Ste 826
Chicago, IL 60602-1799
Phone (240) 298-4110
Other names 1
- Michelle Kalnasy
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009486 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1376929315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S OAK PARK AVE APT B",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024907",
"telephone_number": "240-298-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 W JACKSON BLVD STE 662",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043452",
"telephone_number": "240-298-4110"
}
],
"practiceLocations": [
{
"address_1": "4124 N Lincoln Ave",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606183286",
"country_code": "US",
"telephone_number": "773-569-1426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 E Washington St Ste 826",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606021799",
"country_code": "US",
"telephone_number": "240-298-4110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALNASY POWELL",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "KALNASY",
"code": "1",
"type": "Former Name"
}
]
}
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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.