Michelle K London, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0710008380 Issued in IL

Practice address

910 W Huron St
Apt 810
Chicago, IL 60642-5941

Phone

(312) 504-4428

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Nexumhc Consultants, PLLC

  • Clinical Social Worker
  • Lincolnwood, IL
  • NPI 1851082598
  Medicare reassignment NPD

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1407169246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W HURON ST",
            "address_2": "APT 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425941",
            "telephone_number": "312-504-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W HURON ST",
            "address_2": "APT 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425941",
            "telephone_number": "312-504-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "0710008380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• London Transportation Service Inc
• London Wellness Foundation
• Ashley London, LCPC
• Lisa Marie London, LCPC, NCC, DBH
• Mark James Lloyd London, M.D.
• Rachel London, MSW, L.C.S.W
• Ruth London, M.D.
• Venus Onia London, LCSW
• Brooke E Long, PSYD
• Catherine Long, MS CGC

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.