Michelle Horner, PSYD, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MICHELLE HORNER, PSYD, PLLC

Practice address

661 W Lake St Ste 2S
Chicago, IL 60661-1034

Phone

(312) 834-4245

NPI assigned

Jul 10, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle L Horner, PSYDNPI 1487178018

Title

Owner

Phone

(312) 834-4245

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Michelle Horner, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1487178018
  Medicare reassignment NPD Authorized official
• Izabela Gluszak, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1972345569
  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1871330464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W LAKE ST STE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W LAKE ST STE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611034",
            "telephone_number": "312-834-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HORNER, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-834-4245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Martin and Associates
• Michele T Bogacki DDS, LTD.
• Jamie Micheletto
• Michelle a Costello LCSW, PLLC
• Michelle D Williams LCSW Cadc PC
• Michelle L Siegman LCSW LLC
• Michelle Polk Acupuncture
• Michelle Young Healing, P.C. (Alchemy Acupuncture & Herbs)
• Samantha Ann Michelli, LCPC, CCTP, CADC,NCC
• Kristi Leigh Michels, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.

Verify at the official NPI Registry.