DR. MICHAEL MICHALIK (NPI# 1609105717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609105717 |
Entity Type | Individual |
Full Name | DR. MICHAEL MICHALIK |
Credential | PH.D. |
Practice Address |
6066 Strathmoor Dr Ste 3c Rockford IL 61107-6633 |
Practice Telephone | 8153977330 |
Practice Fax Number | 8153999306 |
Mailing Telephone | 8153977330 |
Mailing Fax Number | 8153999306 |
Enumeration Date | 2009-12-18 |
Last Update Date | 2010-02-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071003251 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790306306 | Michael Gregory Michalik | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
Street Address |
6066 STRATHMOOR DR STE 3C |
City | ROCKFORD |
State | IL |
Zip Code | 61107-6633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
Find all providers in zip 61107 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114549581 | Enlighten Mind Body Wellness LLC | Psychologist | 3106 Spring Harbour Dr, Rockford, IL 61114-6605 | 2020-05-08 |
1275920969 | Jason Soriano | Psychologist | 3784 Fox Pointe, Rockford, IL 61114-7078 | 2015-04-20 |
1326364167 | Paula Marie Mackenzie | Psychologist | 124 N Water St Ste 304, Rockford, IL 61107-3975 | 2010-04-19 |
1225369804 | Kevin Cubala | Psychologist | 5301 E State St Ste 304, Rockford, IL 61108-2390 | 2010-01-21 |
1700025152 | Kathryn J Roaleen | Psychologist | 5039 10 Mile Rd Ne, Rockford, MI 49341-9301 | 2009-02-09 |
1649457987 | Abigail Guevara Hansen | Psychologist | 16 N Monroe St, Rockford, MI 49341-1228 | 2008-01-29 |
1992831358 | Deena Iris Cantu Plews | Psychologist | 16 N Monroe, Rockford, MI 49341 | 2007-02-27 |
1508928482 | Brian John Seely | Psychologist | 7465 Sunfish Lake Ct Ne, Rockford, MI 49341-9074 | 2006-12-15 |
1245331149 | Peter J Birkeland | Psychologist | 16 North Monroe, Rockford, MI 49341 | 2006-09-26 |
1053421818 | Abigail Guevara Phd PC | Psychologist | 16 N Moncoe, Rockford, MI 49341 | 2006-08-30 |
Find all providers in ROCKFORD |
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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.