Individual provider Active NPI

Michelle Ann Field

  • Psychiatry Physician
  • Highland Park, IL
National Provider Identifier
1639106693
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-110377 Issued in IL
Practice address
887 Bob-O-Link Rd
Highland Park, IL 60035-3913
Phone
(847) 912-1122
Fax
(847) 291-1156
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-110377 IL Primary

Addresses

Primary practice location

887 Bob-O-Link Rd
Highland Park, IL 60035-3913

Mailing address

887 Bob-O-Link Rd.
Highland Park, IL 60035-3913
Phone (847) 433-9268

Other names 1

  • Dr. Michelle Ann Field Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000110 IL Practitioner - Psychiatry 4385747732 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-110377ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle a Field MD SC Psychiatry CurrentSince Aug 1, 2006 Accepting new patients

Locations

400 Skokie Blvd
Ste 400
Northbrook, IL 60062
Phone (847) 498-4433

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1639106693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 BOB-O-LINK RD.",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353913",
            "telephone_number": "847-433-9268",
            "fax_number": "847-266-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 BOB-O-LINK RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353913",
            "telephone_number": "847-912-1122",
            "fax_number": "847-291-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-110377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FIELD",
            "middle_name": "ANN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.