Michaja Lynn Prendergast

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.008197 Issued in IL

Practice address

1820 W Webster Ave
2
Chicago, IL 60614-2934

Phone

(810) 656-2863

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1740599489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N HAMPDEN CT",
            "address_2": "K7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144943",
            "telephone_number": "810-656-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W WEBSTER AVE",
            "address_2": "2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142934",
            "telephone_number": "810-656-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "MICHAJA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.008197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prendergast Pediatrics P.C.
• Erica Prendergast
• Francis M. Prendergast, MD
• Heather M Prendergast
• Kelly Prendergast, LPC
• Molly Anne Prendergast, APRN, CNP
• Patricia Anne Prendergast, LCSW
• Hindrik Jan Prenger, DNP, FNP-BC
• Eric H Prensky, PH.D.
• Prentice Place

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.