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

Q: What is Michael Knobeloch's NPI number?

The NPI number for Michael Knobeloch is 1619396736. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Q: What is Michael Knobeloch'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 Michael Knobeloch was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 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: August 16, 2026.

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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

Phone(309) 706-3190

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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.

MRS. VIRGINIA ANN KERWIN R.D. ,CDE, LDN

Dietitian, Registered

102 W KENWOOD AVE
DECATUR, IL 62526

Macon County (217) 545-8000

DRS GRAHAM & GRAHAM LTD

Podiatrist (Foot & Ankle Surgery)

102 W KENWOOD AVE, SUITE 150
DECATUR, IL 62526

Macon County (217) 875-3668

ANNETTA INDIA BROOMFIELD

Registered Nurse

102 W KENWOOD AVE
DECATUR, IL 62526

Macon County (217) 872-3800

BROOKLYNN JUNE ALDRIDGE

Community Health Worker

102 W KENWOOD AVE
DECATUR, IL 62526

Macon County (217) 972-5857

MISS ROBYN PLOESSL DPT

Physical Therapist

102 W KENWOOD AVE
DECATUR, IL 62526

Macon County (217) 876-2690

MICHAEL STEPHEN KOCH MS, ATC

Specialist/Technologist (Athletic Trainer)

102 W KENWOOD AVE
DECATUR, IL 62526

Macon County (217) 876-6820

TAMMY KAY MUNCH PA-C

Physician Assistant

102 W KENWOOD AVE, SUITE 110
DECATUR, IL 62526

Macon County (217) 876-6880

KYLIE VANDYKE

Social Worker (Clinical)

102 W KENWOOD AVE
DECATUR, IL 62526

Macon County (217) 520-1047

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 Knobeloch's NPI number?

The NPI number for Michael Knobeloch is 1619396736. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Michael Knobeloch located?

Michael Knobeloch practices at 102 W Kenwood Ave Suite 120A, Decatur, IL 62526. The listed phone number is (309) 706-3190.

What is Michael Knobeloch's specialty?

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

Is Michael Knobeloch enrolled in Medicare?

Yes. Michael Knobeloch 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.

What insurance does Michael Knobeloch accept?

Health plans from Medica list Michael Knobeloch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Knobeloch was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.