DR. MICHAEL ROBERT MECOZZI (NPI# 1841586005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841586005 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT MECOZZI |
| Credential | PSY.D. |
| Practice Address |
301 Veterans Pkwy New Lenox IL 60451-2899 |
| Practice Telephone | 8157171700 |
| Practice Fax Number | 8154638101 |
| Mailing Telephone | 8157171700 |
| Mailing Fax Number | 8154638101 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2015-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008159 | IL | Behavioral Health & Social Service Providers |
| Street Address |
301 VETERANS PKWY |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-2899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582824 | Krista Escamillo | Psychologist | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2020-06-11 |
| 1609425263 | Jenelle Clason | Assistant Behavior Analyst | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2019-09-06 |
| 1356808414 | Aaron Huth | Social Worker | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2019-02-25 |
| 1902381320 | Trinity Services Inc. | Clinic/Center | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2018-10-02 |
| 1649788795 | Nicole Jeanine Roby | Behavioral Analyst | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2018-01-10 |
| 1407390644 | Nicholas Albert Macak | Assistant Behavior Analyst | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2016-12-07 |
| 1083062418 | Trinity Services Inc. | Behavioral Analyst | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2016-05-26 |
| 1407239650 | Ashley Kay Swanson | Behavioral Analyst | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2015-07-07 |
| 1114333259 | Charles Arthur Egner II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893305 | Dw Enterprises | Psychologist | 335 Alana Dr, New Lenox, IL 60451-1766 | 2013-07-08 |
| 1093839433 | Dr. Robert E. Puls, P.C. | Psychologist | 1352 N Cedar Rd, New Lenox, IL 60451-1163 | 2007-03-19 |
| 1316099807 | Thomas L Swietzer | Psychologist | 600 Mcdivitt Dr, New Lenox, IL 60451-2162 | 2007-01-17 |
| 1356368195 | Wolfe Behavioral Health P.C. | Psychologist | 339 Alana Dr, New Lenox, IL 60451-1766 | 2006-07-17 |
| 1942282272 | Dora Marie Johns Wolfe | Psychologist | 339 Alana Dr., New Lenox, IL 60451 | 2005-11-14 |
| 1801271408 | Hope With Me LLC | Psychologist | 1361 E Lincoln Hwy, New Lenox, IL 60451 | 2015-07-23 |
| 1447631551 | Bradford Anthony Czochara | Psychologist | 13318 W Lincoln Hwy, New Lenox, IL 60451-9540 | 2015-06-15 |
| 1366745812 | Aimee Echevarria | Psychologist | 1361 E Lincoln Hwy, New Lenox, IL 60451-2153 | 2010-12-06 |
| 1295069029 | Scott W Stubenrauch | Psychologist | 339 Alana Dr, New Lenox, IL 60451-1766 | 2009-09-26 |
| 1568654168 | Felicia L. Sanford | Psychologist | 339 Alana Dr, New Lenox, IL 60451-1766 | 2007-08-16 |
| Find all providers in NEW LENOX | ||||
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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.