Michael J Purcell, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006908 Issued in IL

Practice address

6832 W North Ave
Suite 4B
Chicago, IL 60707-4430

Phone

(773) 796-0747

NPI assigned

Jan 22, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Barnes & Klatt PC

  • Clinical Psychologist
  • Mount Prospect, IL
  • NPI 1659425361
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1720132434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 W DICKENS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073327",
            "telephone_number": "773-796-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 W NORTH AVE",
            "address_2": "SUITE 4B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074430",
            "telephone_number": "773-796-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pupil Vision Center
• Shilpa Puppala, MD
• Shyam Puppala, MD
• John David Purakal, M.D., M.S.
• Caitlin Purcell
• Sierra Purcell, PA
• Ticonna D Purdle, N.P.
• Pure Balance Psychotherapy PLLC
• Pure Bodyworks
• Pure Health Center, Inc

• 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 Nov 19, 2013; 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.