DR. MICHAEL J. BLAND


Address: 856 W Buena Ave, Chicago, IL 60613-1646
Phone: 7734048161

DR. MICHAEL J. BLAND (NPI# 1932282514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932282514
Entity Type Individual
Full Name DR. MICHAEL J. BLAND
Credential PSY.D., D.MIN., LCPC
Practice Address 856 W Buena Ave
Chicago
IL 60613-1646
Practice Telephone 7734048161
Practice Fax Number 7734048162
Mailing Telephone 7734048161
Mailing Fax Number 7734048162
Enumeration Date 2006-10-24
Last Update Date 2012-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
180003122 IL Behavioral Health & Social Service Providers

Other Providers MICHAEL BLAND

NPI Name Taxonomy Address Enumeration
1376707356 Michael Ray Bland Social Worker 1826 Veterans Blvd, Dublin, GA 31021-3620 2008-07-18

Office Location

Street Address 856 W BUENA AVE
City CHICAGO
State IL
Zip Code 60613-1646

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831469824 Bland & Associates, Inc Counselor 856 W Buena Ave, Chicago, IL 60613-1646 2012-01-06

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1508463704 Tynisha Jointer Counselor 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 2020-10-01
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Competitor

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City CHICAGO
Zip Code 60613

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Dataset Information

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.

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