Individual provider Active NPI

Michelle Kalnasy Powell, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1376929315
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009486 Issued in IL
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

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former 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

State licenses

LicenseStateTypeSpecialty
071009486ILMDClinical 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.

Verify at the official NPI Registry.