DR. MICHAEL CHARLES SMITH PH.D.
NPI 1215062419
Psychologist - Clinical in Oak Brook, IL

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
210 W 22ND ST, SUITE 119, OAK BROOK, IL 60523(630) 574-9084 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Charles Smith Ph.d. NPPES

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

DR. MICHAEL CHARLES SMITH PH.D. (NPI 1215062419) is an individual clinical provider in Oak Brook, Illinois and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1215062419
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL CHARLES SMITHCredential: PH.D.
Location Address210 W 22ND ST, SUITE 119Oak Brook, IL 60523-1544
Mailing Address119 N Walnut StElmhurst, IL 60126-2633 · (630) 574-9084 · Fax (630) 782-6069
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1215062419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.

210 W 22ND ST, Oak Brook, IL 60523

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. Michael Charles Smith Ph.d. 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 ID8527351410
PECOS Enrollment IDI20160729002197
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
136 services31 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
102 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60523 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 14

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

Psychologist
210 W 22ND ST, STE 119
OAK BROOK, IL 60523
Counselor (Mental Health)
210 W 22ND ST, SUITE 120
OAK BROOK, IL 60523
Counselor (Mental Health)
210 W 22ND ST, SUITE 120
OAK BROOK, IL 60523
Social Worker (Clinical)
210 W 22ND ST, SUITE 120
OAK BROOK, IL 60523
Psychologist (Clinical)
210 W 22ND ST, SUITE 118
OAK BROOK, IL 60523
Counselor (Professional)
210 W 22ND ST, STE 120
OAKBROOK, IL 60523
Counselor (Mental Health)
210 W 22ND ST, SUITE 118
OAK BROOK, IL 60523
Psychologist (Clinical)
210 W 22ND ST, SUITE 118
OAK BROOK, IL 60523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Smith's NPI number?

The NPI number for Michael Smith is 1215062419. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Michael Smith located?

Michael Smith practices at 210 W 22nd St Suite 119, Oak Brook, IL 60523. The listed phone number is (630) 574-9084.

What is Michael Smith's specialty?

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

Is Michael Smith enrolled in Medicare?

Yes. Michael Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.