Individual provider Active NPI

Rana V Michaels, PSYD

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1811077860
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005685 Issued in IL
Practice address
1701 E. Woodfield Road
Suite 1000
Schaumburg, IL 60173-5113
Phone
(847) 240-2211
Fax
(847) 240-2418
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005685 IL Primary

Addresses

Primary practice location

1701 E. Woodfield Road
Suite 1000
Schaumburg, IL 60173-5113

Mailing address

800 E Northwest Hwy
Ste 500
Palatine, IL 60074-6511
Phone (847) 240-2211

Other identifiers 3

IdentifierTypeStateIssuer
319247OtherILMHN PROVIDER NUMBER
32078OtherILVALUE OPTIONS GRP NUMBER
1633897OtherILBCBS GROUP NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040228000282 IL Practitioner - Clinical Psychologist 3870480551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

579 N 1St Bank Dr
Suite 150
Palatine, IL 60067-8102
Phone (847) 920-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005685ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rana V Michaels, PSYD, LTD. Clinical CurrentSince Oct 24, 2013 Accepting new patients
Pra Behavioral LLC Clinical Past Accepting new patients

Locations

579 N 1st Bank Dr
Ste 150
Palatine, IL 60067
Phone (847) 701-4273

800 E Northwest Hwy
Ste 500
Palatine, IL 60074
Phone (847) 701-4273

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1811077860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY",
            "address_2": "STE 500",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746511",
            "telephone_number": "847-240-2211",
            "fax_number": "847-240-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E. WOODFIELD ROAD",
            "address_2": "SUITE 1000",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735113",
            "telephone_number": "847-240-2211",
            "fax_number": "847-240-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "RANA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER NUMBER",
            "identifier": "319247",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS GRP NUMBER",
            "identifier": "32078",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "1633897",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.