MICHAEL WIERMAN (NPI# 1548873771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548873771 |
| Entity Type | Individual |
| Full Name | MICHAEL WIERMAN |
| Practice Address |
545 Newport Ct Island Lake IL 60042-9137 |
| Mailing Address |
358 College St Apt E Crystal Lake IL 60014-6000 |
| Practice Telephone | 8475264700 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2419059 | IL | Behavioral Health & Social Service Providers |
| Street Address |
545 NEWPORT CT |
| City | ISLAND LAKE |
| State | IL |
| Zip Code | 60042-9137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547534 | Amy Elizabeth Toczyski | Specialist/Technologist | 4331 Shooting Star Dr, Island Lake, IL 60042 | 2017-09-18 |
| 1710400114 | Donna Jean Brooks | Social Worker | 28070 W. State Rt. 176, Island Lake, IL 60042 | 2017-07-18 |
| 1205113198 | Tiana Lynn Kelchen | Chiropractor | 28070 Route 176, Island Lake, IL 60042 | 2011-11-07 |
| 1003096496 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 442 W State Rd, Island Lake, IL 60042 | 2007-11-14 |
| 1144253816 | Marie F Behm | Chiropractor | 28070 Rt. 176, Island Lake, IL 60042 | 2006-07-08 |
| 1407821390 | Kathleen Margaret Lindsey | Chiropractor | 28070 Rt 176, Island Lake, IL 60042-0120 | 2006-02-22 |
| 1831103332 | Michelle Marie Ralph | Physical Therapist | 801 S Milwaukee, Condell Medical Center Condell Drive, Libertyville, IL 60042-3199 | 2006-07-28 |
| 1124049598 | Gurbax Singh Saini | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2006-07-21 |
| 1598005019 | Debra Wallace | Marriage & Family Therapist | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2013-02-20 |
| 1649499112 | Gurbax Singh Saini Md | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2007-04-24 |
| Find all providers in zip 60042 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1326648247 | Ashley Head | Psychologist | 1161 S Walnut Ave, Arlington Heights, IL 60005-3053 | 2020-10-29 |
| 1932709052 | Mitchell B. Hoberman, Psy.d., P.C. | Psychologist | 8952 Samoset Trl, Skokie, IL 60076-1914 | 2020-10-28 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1295348506 | Amaoli LLC | Psychologist | 164 Division St Ste 617, Elgin, IL 60120-5533 | 2020-08-26 |
| 1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
| 1790393650 | Jerry Mark Otoole | Psychologist | 5700 Caton Farm Rd, Plainfield, IL 60586-9905 | 2020-07-16 |
| 1376165910 | Ji Yun Kang | Psychologist | 610 E John St Rm 236, Champaign, IL 61820-5717 | 2020-05-16 |
| 1548882954 | Jillian M. Wickery, Ph.d., Psychological Services Pllc | Psychologist | 720 Osterman Ave Ste 301, Deerfield, IL 60015-4339 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND LAKE |
| Zip Code | 60042 |
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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.