Michael John Devries, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

15601 Cicero Ave
Suite 103
Oak Forest, IL 60452-3635

Phone

(708) 687-3479

Fax

(708) 687-3480

NPI assigned

Jun 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olive Branch Counseling Associates, Inc.

  • Mental Health Counselor
  • Oak Forest, IL
  • NPI 1730124157
  Medicare reassignment
• Olive Branch Counseling Associates, Inc.

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1255867602
  NPD
• Chicago Christian Counseling Center Inc

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1083664510
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881621951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 CICERO AVE",
            "address_2": "SUITE 103",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523635",
            "telephone_number": "708-687-3479",
            "fax_number": "708-687-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 CICERO AVE",
            "address_2": "SUITE 103",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523635",
            "telephone_number": "708-687-3479",
            "fax_number": "708-687-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Deno
• Dental Smiles of Oak Forest PC
• Beena Patel Deshmukh, DDS MSD
• Marilyn Catherine Deutmeyer, M.S. CCC-SLP/L
• Louella Beth Devries, L.C.P.C.
• Diagnostics, Inc
• Amanda N Dibenedetto, RBT
• Dorothea S. Diguido, M.S., CTRS
• Dominion Care Network LLC
• Michael William Donahue, DDS PC

• Clinical Psychologist in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.