Micah K Swansey Sr., PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006944 Issued in IL

Practice address

593 Burnham Avenue
Calumet City, IL 60409

Phone

(708) 832-1002

Fax

(708) 832-1099

NPI assigned

Mar 20, 2007

Last updated

Sep 19, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Consulting Professionals Inc

  • Clinical Psychologist
  • Calumet City, IL
  • NPI 1104926625
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1932224185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 GLEN EAGLES DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611160",
            "telephone_number": "708-259-8154",
            "fax_number": "708-747-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 BURNHAM AVENUE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-832-1002",
            "fax_number": "708-832-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSEY",
        "first_name": "MICAH",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Straight Path Transit, Inc
• Garnadette Stuckey
• Luis Miguel Suarez- Fernandez I, MD
• Stephanie Summers
• Sunflower Transportation
• Sherri Lynne Swansey, LCSW
• T and K Personal Services, LLC
• T's Surgical Assisting LLC
• T&R Enterprises LLC
• Shahida Tanveer, MD

• Clinical Psychologist in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.