Individual provider Active NPI

Michelle C Delehant, PHD

  • Clinical Neuropsychologist
  • Mokena, IL
National Provider Identifier
1528043379
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071005378 Issued in IL
Practice address
9990 W 190TH St Ste a
Mokena, IL 60448-8189
Phone
(815) 469-6730
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071005378 IL Primary

Addresses

Primary practice location

9990 W 190TH St Ste a
Mokena, IL 60448-8189

Mailing address

9990 W 190TH St Ste a
Mokena, IL 60448-8189
Phone (815) 469-6730

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110118001162 IL Practitioner - Clinical Psychologist 9032267059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9990 W 190TH St
Suite a
Mokena, IL 60448-8189
Phone (815) 469-6730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071005378ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle C. Delehant, PH.D., Inc. Clinical Neuropsychologist CurrentSince May 1, 2009 Accepting new patients

Locations

9990 W 190th St
Ste A
Mokena, IL 60448
Phone (815) 469-6730

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1528043379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 W 190TH ST STE A",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488189",
            "telephone_number": "815-469-6730",
            "fax_number": "708-429-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 W 190TH ST STE A",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488189",
            "telephone_number": "815-469-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEHANT",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071005378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.