Active NPI
Michael Moorhead
- Behavior Technician
- Villa Park, IL
National Provider Identifier
1881556066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-369868
- Practice address
- 220 E Roosevelt Rd
Villa Park, IL 60181-3500 - Phone
- (224) 593-6749
- NPI assigned
- Nov 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-369868 | IL | Primary |
Addresses
Primary practice location
220 E Roosevelt Rd
Villa Park, IL 60181-3500
Mailing address
1301 N Western Ave Unit 303
Lake Forest, IL 60045-1288
Phone (312) 914-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1881556066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 N WESTERN AVE UNIT 303",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451288",
"telephone_number": "312-914-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E ROOSEVELT RD",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "601813500",
"telephone_number": "224-593-6749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORHEAD",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-26",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-369868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.