MICHAEL A. WEISS (NPI# 1366657587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366657587 |
| Entity Type | Individual |
| Full Name | MICHAEL A. WEISS |
| Credential | LCPC |
| Practice Address |
2738 W Fargo Ave Chicago IL 60645-1316 |
| Practice Telephone | 7737648893 |
| Mailing Telephone | 7737648893 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS PROVIDER | 0001623064 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528366689 | Michael J. Weiss | Psychologist | 333 Bennett St, Fairfield, CT 06825-1375 | 2011-03-14 |
| 1639370927 | Michael A Weiss | Internal Medicine | Case Western Reserve Univ., 10900 Euclid Avenue, Cleveland, OH 44106 | 2007-05-31 |
| 1700925591 | Michael F Weiss | Pediatrics | Volunteers In Medicine Berkshires, 777 Main Street Suite 4, Gt. Barrington, MA 01230 | 2007-02-06 |
| 1801997614 | Michael Weiss | Anesthesiology | 9101 Lbj Fwy, Ste 760, Dallas, TX 75243-2057 | 2006-09-26 |
| 1871699520 | Michael Weiss | Pediatrics | 29941 Aventura, Suites E&f, Rancho Santa Margarita, CA 92688-2015 | 2006-09-16 |
| 1528175494 | Michael B Weiss | Dentist | 14 South Cedar St, Hazleton, PA 18201-6602 | 2006-08-24 |
| 1780612028 | Michael Eric Weiss | Pediatrics | 3501 Johnson Streeet, Hollywood, FL 33021 | 2006-06-28 |
| 1528008497 | Michael Armand Weiss | Anesthesiology | 4676 Skyview Dr, Glenville, PA 17329-9275 | 2006-06-07 |
| 1174574271 | Michael S Weiss | Physical Medicine & Rehabilitation | 703 Americana Blvd, Boise, ID 83702-6754 | 2006-05-13 |
| 1245201078 | Michael J Weiss | Ophthalmology | 635 West 165th St Suite 101, Harkness Eye Institute, New York, NY 10032 | 2006-01-30 |
| Street Address |
2738 W FARGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1477151942 | Mansukh Sandhu | Counselor | 8765 W Higgins Rd Ste 450, Chicago, IL 60631-4172 | 2020-10-15 |
| 1881291920 | Freddy Reyes | Counselor | 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 | 2020-10-01 |
| 1508463704 | Tynisha Jointer | Counselor | 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 | 2020-10-01 |
| 1851908206 | Manqual Chambers | Counselor | 2801 S King Dr, Chicago, IL 60616-2949 | 2020-09-29 |
| 1184231672 | Francesca Cottone | Counselor | 1616 N Nordica Ave, Chicago, IL 60707-4317 | 2020-09-28 |
| 1952916322 | Elle Skelton | Counselor | 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 | 2020-09-13 |
| 1437764305 | Donita M Lester | Counselor | 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 | 2020-09-09 |
| Find all providers in CHICAGO | ||||
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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.