MICHAEL J INGERSOLL PSY.D
NPI 1487630737
Psychologist - Clinical in Naperville, IL

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
640 S WASHINGTON ST, NAPERVILLE, IL 60540(815) 942-6323(815) 942-6363 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2023, Oct 13, 2022, Mar 1, 2016 (3 updates tracked since 2016).

About Michael J Ingersoll Psy.d NPPES

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

MICHAEL J INGERSOLL PSY.D (NPI 1487630737) is an individual clinical provider in Naperville, Illinois, licensed in Illinois (071004707) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1487630737
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL J INGERSOLLCredential: PSY.D
Location Address640 S WASHINGTON STNaperville, IL 60540-6603
Mailing AddressPo Box 713260Chicago, IL 60677-0018 · (630) 469-9200
Fax(815) 942-6363
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 19, 2005
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1487630737 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 · 071004707
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.
640 S WASHINGTON ST, Naperville, IL 60540

Other Identifiers 2

Other01618781IL · Bc/bs
Other680012120IL · Medicare Railroad

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

Michael J Ingersoll Psy.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 ID9537142922
PECOS Enrollment IDI20040608000574
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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
249 services35 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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 20

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

Nurse Practitioner
640 S WASHINGTON ST
NAPERVILLE, IL 60540
Social Worker (Clinical)
640 S WASHINGTON ST
NAPERVILLE, IL 60540
Obstetrics & Gynecology
640 S WASHINGTON ST, STE 220
NAPERVILLE, IL 60540
Internal Medicine
640 S WASHINGTON ST, STE 280
NAPERVILLE, IL 60540
Family Medicine
640 S WASHINGTON ST, 350
NAPERVILLE, IL 60540
Counselor (Professional)
640 S WASHINGTON ST
NAPERVILLE, IL 60540
Family Medicine
640 S WASHINGTON ST, STE 350
NAPERVILLE, IL 60540
Specialist
640 S WASHINGTON ST, STE 380
NAPERVILLE, IL 60540

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 Ingersoll's NPI number?

The NPI number for Michael Ingersoll is 1487630737. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Michael Ingersoll located?

Michael Ingersoll practices at 640 S Washington St, Naperville, IL 60540. The listed phone number is (815) 942-6323.

What is Michael Ingersoll's specialty?

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

Is Michael Ingersoll enrolled in Medicare?

Yes. Michael Ingersoll 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 Ingersoll was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.