DR. MICHAEL J BLACCONIERE PH.D.
NPI 1801977269
Psychologist - Clinical in Hines, IL

Q: What is Michael Blacconiere's NPI number?

The NPI number for Michael Blacconiere is 1801977269. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Michael Blacconiere's specialty?

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

Active since October 18, 2006PECOS Enrolled

HINES VA HOSPITAL, 5TH AVE & ROOSEVELT RD, HINES, IL 60141(708) 202-2656 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael J Blacconiere Ph.d. NPPES

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

DR. MICHAEL J BLACCONIERE PH.D. (NPI 1801977269) is an individual clinical provider in Hines, Illinois, licensed in Illinois (71004033) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801977269

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL J BLACCONIERECredential: PH.D.

Location AddressHINES VA HOSPITAL, 5TH AVE & ROOSEVELT RDHines, IL 60141

Mailing Address1339 Margret StDes Plaines, IL 60018-1522 · (847) 827-6641

Phone(708) 202-2656

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801977269 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 · 71004033

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.

HINES VA HOSPITAL, Hines, IL 60141

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael J Blacconiere Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60141 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 15

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

MRS. JACQUELINE P STEWARD OTRL

Occupational Therapist

HINES VA HOSPITAL, BLDG 228, ROOM B1021
HINES, IL 60141

Cook County (708) 202-8387

MS. ELIZABETH JEAN GALLICHIO LCSW

Social Worker (Clinical)

HINES VA HOSPITAL, ROOSEVELT AND 5TH AVE.
HINES, IL 60141

Cook County (708) 202-4128

DR. JEFFREY RONALD KANOFSKY M.D.

Internal Medicine (Hematology & Oncology)

HINES VA HOSPITAL, FIFTH AVENUE & ROOSEVELT ROAD
HINES, IL 60141

Cook County (708) 202-8387

DR. JEFFERY P. NAOUR MD

Internal Medicine

HINES VA HOSPITAL
HINES, IL 60141

Cook County (708) 202-8387

MRS. KRISTIN MARGARET KIRCHWEHM COMS

Specialist/Technologist (Rehabilitation, Blind)

HINES VA HOSPITAL, BUILDING 113
HINES, IL 60141

Cook County (708) 202-2273

DR. MARK VANDRUNEN MD

Radiology (Diagnostic Radiology)

HINES VA HOSPITAL, 5TH AVE & ROOSEVELT ROAD
HINES, IL 60141

Cook County (708) 202-2169

DR. ROBERT S CHIMIS PHD

Psychologist (Clinical)

HINES VA HOSPITAL, MENTAL HEALTH CLINIC (116A3)
HINES, IL 60141

Cook County (708) 202-4658

SUDHA BHOOPALAM MD

Internal Medicine

HINES VA HOSPITAL
HINES, IL 60141

Cook County (708) 202-3800

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 Blacconiere's NPI number?

The NPI number for Michael Blacconiere is 1801977269. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Michael Blacconiere located?

Michael Blacconiere practices at Hines VA Hospital 5th Ave & Roosevelt Rd, Hines, IL 60141. The listed phone number is (708) 202-2656.

What is Michael Blacconiere's specialty?

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

Is Michael Blacconiere enrolled in Medicare?

Yes. Michael Blacconiere is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Blacconiere was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.