DR. BENJAMIN MICHAELS PSYD
NPI 1205579034
Psychologist - Clinical in Libertyville, IL

Q: What is Benjamin Michaels's NPI number?

The NPI number for Benjamin Michaels is 1205579034. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Benjamin Michaels's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Michaels was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment

1800 HOLLISTER DR STE 201, LIBERTYVILLE, IL 60048(847) 549-1189 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Apr 19, 2022 (2 updates tracked since 2022).

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About Dr. Benjamin Michaels Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN MICHAELS PSYD (NPI 1205579034) is an individual clinical provider in Libertyville, Illinois, licensed in Illinois (070010756) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205579034

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BENJAMIN MICHAELSCredential: PSYD

Location Address1800 HOLLISTER DR STE 201Libertyville, IL 60048-5266

Mailing Address1800 Hollister Dr Ste 201Libertyville, IL 60048-5266 · (847) 549-1189

Phone(847) 549-1189

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 19, 2022

Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1205579034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 070010756

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1800 HOLLISTER DR STE 201, Libertyville, IL 60048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin Michaels Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375925183

PECOS Enrollment IDI20220726002471

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE MEDINA LSW

Social Worker