Michelle Patricia Sierzega, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010101 Issued in IL

Practice address

910 Skokie Blvd Ste 215
Northbrook, IL 60062-4033

Phone

(847) 480-0300

NPI assigned

Feb 20, 2020

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michelle P. Sierzega, LTD.

  • Clinical Psychologist
  • Downers Grove, IL
  • NPI 1679327001
  NPD Authorized official
• Psychology Specialists LTD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1760015424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 LONGVIEW DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323234",
            "telephone_number": "630-272-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD STE 215",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624033",
            "telephone_number": "847-480-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERZEGA",
        "first_name": "MICHELLE",
        "middle_name": "PATRICIA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Eileen Showalter
• Madeleine Shrull, MSW
• Krista Renee Shull
• Marina Shvartsman, MA, CCC-SLP
• Marshell Siddock, RBT-18-66959
• Arthur Raymond Silk
• Naomi M Sill, BCBA
• Giselle Silva-Rico
• Silver Lining Homecare Inc.
• Silver Lining Integrated Health LLC

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.