DR. MICHAEL CHARLES SMITH (NPI# 1215062419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215062419 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CHARLES SMITH |
| Credential | PH.D. |
| Practice Address |
210 W 22nd St Suite 119 Oak Brook IL 60523-1544 |
| Mailing Address |
119 N Walnut St Elmhurst IL 60126-2633 |
| Practice Telephone | 6305749084 |
| Mailing Telephone | 6305749084 |
| Mailing Fax Number | 6307826069 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200012 | Michael Smith | Physical Therapy Assistant | 3690 Orange Pl Ste 250, Beachwood, OH 44122-4438 | 2020-09-22 |
| 1700499712 | Michael Martin Smith | Social Worker | 1020 Simonds Rd, Williamstown, MA 01267-2102 | 2020-08-28 |
| 1811509466 | Michael Browning Smith | Acupuncturist | 2039 Regency Rd Ste 3, Lexington, KY 40503-2334 | 2020-08-17 |
| 1942862941 | Michael B Smith | Counselor | 260 Chapman Rd Ste 103, Newark, DE 19702-5410 | 2019-07-01 |
| 1003370818 | Michael Jaleon Smith | Case Manager/Care Coordinator | 14206 Long Meadow Dr, Houston, TX 77047-4597 | 2019-01-25 |
| 1699255877 | Michael R Smith | Naturopath | 23501 W Clark St, Plainfield, IL 60586-2321 | 2018-08-17 |
| 1750869384 | Michael Smith | Counselor | 4636 E 175th St, Cleveland, OH 44128-3930 | 2018-08-06 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1457878118 | Michael Smith | Physical Therapist | 3524 Kaliste Saloom Rd Ste 205, Lafayette, LA 70508-7638 | 2017-08-24 |
| Street Address |
210 W 22ND ST SUITE 119 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134176423 | Maria Nucci | Psychologist | 210 W 22nd St, Suite 119, Oak Brook, IL 60523-1544 | 2006-05-30 |
| 1306195268 | Comprehensive Neuropsychology Services, LLC | Clinical Neuropsychologist | 210 W 22nd St, Suite 120, Oak Brook, IL 60523-1544 | 2012-09-06 |
| 1679773196 | Counseling Resources, Inc | Counselor | 210 W 22nd St, Suite 120, Oak Brook, IL 60523-1544 | 2007-07-23 |
| 1326259870 | Doreen Berger | Social Worker | 210 W 22nd St, #119, Oak Brook, IL 60523 | 2007-05-25 |
| 1467572610 | Kim A Habel | Psychologist | 210 W 22nd St, Suite 119, Oak Brook, IL 60523-1544 | 2007-03-30 |
| 1043366297 | Gerald M. Stein | Clinical Neuropsychologist | 210 W 22nd St, Suite 118, Oak Brook, IL 60523-1544 | 2007-01-28 |
| 1124182308 | Teresa Ammirati | Counselor | 210 W 22nd St, Suite 118, Oak Brook, IL 60523-1544 | 2006-12-21 |
| 1811065121 | Brook Clinic Associates, P.C. | Clinical Neuropsychologist | 210 W 22nd St, Suite 118, Oak Brook, IL 60523-1544 | 2006-12-04 |
| 1184700700 | Marianne Protess | Social Worker | 210 W 22nd St, Suite 120, Oak Brook, IL 60523-1544 | 2006-10-27 |
| 1477663680 | Douglas Charles Zapotocny | Counselor | 210 W 22nd St, Suite 120, Oak Brook, IL 60523-1544 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034849 | Ashley Ehrhardt O'meara | Psychologist | 600 W 22nd St, Suite 250, Oak Brook, IL 60523-1947 | 2013-02-12 |
| 1851683973 | James P Armstrong | Psychologist | 1000 Jorie Blvd Ste 48, Oak Brook, IL 60523-4498 | 2011-05-08 |
| 1457680662 | Maria Ann Urani Liu | Psychologist | 1010 Jorie Blvd Ste 380, Oak Brook, IL 60523 | 2009-12-17 |
| 1477727493 | Sari H Rosenberg | Psychologist | 1200 Harger Road, Suite 600, Oak Brook, IL 60523 | 2008-04-22 |
| 1790983138 | Chris Lynne Johnson | Psychologist | 120 Oakbrook Ctr Ste 720, Oak Brook, IL 60523-4756 | 2007-07-06 |
| 1629281720 | William Christopher Corrado | Psychologist | 1010 Jorie Blvd Ste 12, Oak Brook, IL 60523 | 2007-05-07 |
| 1396875100 | Nancy Jean Skuble | Psychologist | 3 Oak Brook Club Dr, E 302, Oak Brook, IL 60523-1346 | 2007-03-07 |
| 1750416087 | Margot E Warren | Psychologist | 120 Oak Brook Center, Suite 228 Oak Brook Prof Bldg, Oak Brook, IL 60523 | 2007-02-23 |
| 1760491997 | Marie Elizabeth Johnson | Psychologist | 1010 Jorie Boulevard, Suite 246, Oak Brook, IL 60523-1234 | 2006-08-05 |
| 1427674076 | Dr. Melissa Cinquegrani LLC | Psychologist | 700 Commerce Dr, Oak Brook, IL 60523-1546 | 2020-06-19 |
| Find all providers in OAK BROOK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.