Active NPI
Michael Dale Seiler, PHD
- Clinical Psychologist
- Northfield, IL
National Provider Identifier
1679031231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-004139
- Practice address
- 778 W Frontage Rd Ste 111
Northfield, IL 60093-1209 - Phone
- (847) 501-3015
- NPI assigned
- Mar 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-004139 | IL | Primary |
Addresses
Primary practice location
778 W Frontage Rd Ste 111
Northfield, IL 60093-1209
Mailing address
778 W Frontage Rd Ste 111
Northfield, IL 60093-1209
Phone (847) 501-3015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 8, 2026 through May 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004139 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551571200000",
"number": "1679031231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 W FRONTAGE RD STE 111",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600931209",
"telephone_number": "847-501-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 W FRONTAGE RD STE 111",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600931209",
"telephone_number": "847-501-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEILER",
"first_name": "MICHAEL",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-03",
"last_updated": "2019-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-004139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.