David Ralph Michael, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036144355 Issued in IL

Practice address

2334 W Lawrence Ave Ste 221
Chicago, IL 60625-1030

Phone

(312) 535-9614

Fax

(312) 535-8301

NPI assigned

Apr 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Intersectional Psychiatry PLLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1023799103
  NPD Authorized official

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1518300375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 W WOLFRAM ST APT 415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188051",
            "telephone_number": "312-535-9614",
            "fax_number": "312-586-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 221",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251030",
            "telephone_number": "312-535-9614",
            "fax_number": "312-535-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "DAVID",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "63306-21",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036144355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vernon, LCSW LLC
• Michael W Glavin LMFT & Associates LLC (Center for Relational Transformation)
• Alexis Michael, LCPC
• Danny Michael, MSW, LSW
• David Michael, MD
• Gina Michael, DO
• Jamie Michael
• Jody Michael, LCSW
• Katherine Michael, LCSW
• Nicole N Michael, MD

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.