Individual provider Active NPI

Michael Edward Topel, PSYD

  • Clinical Psychologist
  • Skokie, IL
National Provider Identifier
1861704207
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008824 Issued in IL
Practice address
4711 Golf Rd Ste 1200
Skokie, IL 60076-1200
Phone
(847) 922-3253
Fax
(847) 679-8002
NPI assigned
Jul 13, 2010
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.008104 IL
Professional Counselor 101YP2500X 178.006435 IL
Clinical Psychologist 103TC0700X 071.008824 IL Primary

Addresses

Primary practice location

4711 Golf Rd Ste 1200
Skokie, IL 60076-1200

Mailing address

4711 Golf Rd
Suite 1200
Skokie, IL 60076-1224
Phone (847) 679-8000

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
I20180413000618 IL Practitioner - Clinical Psychologist 7810214889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collaborative Behavioral Health LLCGroup PAC ID 9739442369, 2 clinicians

Practice addresses (Care Compare)

4711 Golf Rd
Suite 1200
Skokie, IL 60076-1200
Phone (847) 922-3253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.008104ILMDMental Health Counselor
178.006435ILMDProfessional Counselor
071.008824ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Behavioral Health LLC Clinical CurrentSince Oct 29, 2015 Accepting new patients

Locations

4711 Golf Rd
Ste 1200
Skokie, IL 60076
Phone (847) 563-4488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1861704207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "SUITE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "847-679-8000",
            "fax_number": "847-679-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761200",
            "telephone_number": "847-922-3253",
            "fax_number": "847-679-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPEL",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008104",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.006435",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.