MICHAEL KNOBELOCH PSY.D.
NPI 1619396736
Psychologist - Clinical in Decatur, IL

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
102 W KENWOOD AVE, SUITE 120A, DECATUR, IL 62526(309) 706-3190(309) 588-4115 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Knobeloch Psy.d. NPPES

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

MICHAEL KNOBELOCH PSY.D. (NPI 1619396736) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (071009106) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619396736
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL KNOBELOCHCredential: PSY.D.
Location Address102 W KENWOOD AVE, SUITE 120ADecatur, IL 62526-4368
Mailing AddressPo Box 604Bloomington, IL 61702-0604 · (309) 706-3190 · Fax (309) 588-4115
Fax(309) 588-4115
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 16, 2014
Last NPPES UpdateJanuary 25, 2016
NPI 1619396736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071009106
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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
102 W KENWOOD AVE, Decatur, IL 62526

Accepted 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

Michael Knobeloch 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 ID2567771827
PECOS Enrollment IDI20160726002594
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 62526 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE, DECATUR MEMORIAL HOPSPITAL: KENWOOD MEDICAL CENTER
DACATUR, IL 62526
Durable Medical Equipment & Medical Supplies
102 W KENWOOD AVE, SUITE 100
DECATUR, IL 62526
Physician Assistant
102 W KENWOOD AVE, SUITE 110
DECATUR, IL 62526
Nurse Practitioner (Gerontology)
102 W KENWOOD AVE, STE 120
DECATUR, IL 62526
Nurse Practitioner
102 W KENWOOD AVE, SUITE 120
DECATUR, IL 62526
Physical Therapist
102 W KENWOOD AVE
DECATUR, IL 62526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619396736, enumerated as an "individual" on April 16, 2014.

The provider is located at 102 W KENWOOD AVE SUITE 120A DECATUR, IL 62526 and the phone number is (309) 706-3190.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.