Active NPI
Michael Pica P.C.
- Psychologist
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MICHAEL PICA P.C.
- Practice address
- 4N701 School Rd Ste a
St Charles, IL 60175-6508 - Phone
- (630) 549-6497
- Fax
- (630) 549-0942
- NPI assigned
- May 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Pica, PSYD
- Title
- President/Clinical Psychologist
- Phone
- (630) 373-7349
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Chiropractor | 111N00000X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
4N701 School Rd Ste a
St Charles, IL 60175-6508
Mailing address
4N701 School Rd Ste a
Saint Charles, IL 60175-6508
Phone (630) 549-6497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
127 S 1st St
Ste 105
Geneva, IL 60134
Phone (630) 549-6497
40W222 Lafox Rd
Ste H1
St Charles, IL 60175
Phone (630) 444-0082
4N701 School Rd
Ste A
St Charles, IL 60175
Phone (630) 549-6497
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- St Charles, IL
- NPI 1356455505
-
- Clinical Psychologist
- Warrenville, IL
- NPI 1558816371
-
- Clinical Psychologist
- St Charles, IL
- NPI 1417215831
-
- Clinical Psychologist
- St Charles, IL
- NPI 1700453107
-
- Naturopath
- Geneva, IL
- NPI 1437668324
-
- Professional Counselor
- St Charles, IL
- NPI 1528571718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1730449315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4N701 SCHOOL RD STE A",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601756508",
"telephone_number": "630-549-6497",
"fax_number": "630-549-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4N701 SCHOOL RD STE A",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601756508",
"telephone_number": "630-549-6497",
"fax_number": "630-549-0942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL PICA P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-17",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "PICA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "630-373-7349",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.