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

NPI Status: Active since October 18, 2006

Contact Information

HINES VA HOSPITAL
5TH AVE & ROOSEVELT RD
HINES, IL
ZIP 60141
Phone: (708) 202-2656

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  • Individual
  • Male
  • Psychologist
  • Clinical
  • PECOS Enrolled

About MICHAEL BLACCONIERE

This page provides the complete NPI Profile along with additional information for Michael Blacconiere, a provider established in Hines, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1801977269 assigned on October 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 71004033 (IL). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1801977269
Provider Name
DR. MICHAEL J BLACCONIERE PH.D.
Gender
Male
Entity Type
Individual
Location Address
HINES VA HOSPITAL 5TH AVE & ROOSEVELT RD HINES, IL 60141
Location Phone
(708) 202-2656
Mailing Address
1339 MARGRET ST DES PLAINES, IL 60018
Mailing Phone
(847) 827-6641
Is Sole Proprietor?
No
Enumeration Date
10-18-2006
Last Update Date
07-08-2007
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A clinical psychologist like Michael Blacconiere assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
71004033
License State
IL
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Michael Blacconiere is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60141 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $183.39
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $45.84
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.7
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $26.42
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801977269, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 8 + 7 + 1 + 4 + 2 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1801977269.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
HINES VA HOSPITAL
HINES, IL 60141
Social Worker (Clinical)
HINES VA HOSPITAL, 5TH AVE AND ROOSEVELT RD
HINES, IL 60141
General Acute Care Hospital
HINES VA HOSPITAL, 5TH AVE. AND ROOSEVELT ROAD
HINES, IL 60141
Counselor
HINES VA HOSPITAL
HINES, IL 60141
Social Worker (Clinical)
HINES VA HOSPITAL, ROOSEVELT AND 5TH AVE.
HINES, IL 60141
Radiology (Diagnostic Radiology)
HINES VA HOSPITAL, 5TH AVE & ROOSEVELT ROAD
HINES, IL 60141
Occupational Therapist
HINES VA HOSPITAL, BLDG 228, ROOM B1021
HINES, IL 60141
Specialist/Technologist (Rehabilitation, Blind)
HINES VA HOSPITAL, BUILDING 113
HINES, IL 60141
Specialist/Technologist (Rehabilitation, Blind)
HINES VA HOSPITAL, BUILDING 113
HINES, IL 60141
Internal Medicine
HINES VA HOSPITAL
HINES, IL 60141
Internal Medicine (Hematology & Oncology)
HINES VA HOSPITAL, FIFTH AVENUE & ROOSEVELT ROAD
HINES, IL 60141
Psychologist (Clinical)
HINES VA HOSPITAL, MENTAL HEALTH CLINIC (116A3)
HINES, IL 60141
Internal Medicine
HINES VA HOSPITAL
HINES, IL 60141
Occupational Therapist
HINES VA HOSPITAL
HINES, IL 60141
Psychiatry & Neurology (Psychiatry)
HINES VA HOSPITAL
HINES, IL 60141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801977269, enumerated as an "individual" on October 18, 2006.

The provider is located at HINES VA HOSPITAL 5TH AVE & ROOSEVELT RD HINES, IL 60141 and the phone number is (708) 202-2656.

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