Michael J. Pinkowski, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041050 Issued in IN

Practice address

1321 Mayfair LN
Grayslake, IL 60030-3770

Phone

(847) 752-8204

NPI assigned

Feb 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1992944854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MAYFAIR LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303770",
            "telephone_number": "847-752-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MAYFAIR LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303770",
            "telephone_number": "847-752-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041050",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Petersen, LCSW
• Amanda Pfeiffer
• Cassidy Veronica Phagan, DDS
• Alain Pierre-Louis, MD, MA
• Pignone Investment Group Inc
• Barbara Anna Pintz, DDS
• Cassandra Pitts, PT, DPT
• Christabeth Pixley
• Julia Plescia, FNP
• Lynn C Podlasek, D.D.S.

• Clinical Psychologist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.