DR. MIRELLE DAVIS BLOCH PSYD
NPI 1881236917
Psychologist - Clinical in Chicago, IL

Q: What is Mirelle Bloch's NPI number?

The NPI number for Mirelle Bloch is 1881236917. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Q: What is Mirelle Bloch'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 Mirelle Bloch was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 10, 2019PECOS EnrolledAccepts Medicare Assignment

4305 N LINCOLN AVE STE A, CHICAGO, IL 60618(872) 226-2313 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mirelle Davis Bloch Psyd NPPES

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

DR. MIRELLE DAVIS BLOCH PSYD (NPI 1881236917) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071010127) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881236917

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MIRELLE DAVIS BLOCHCredential: PSYD

Location Address4305 N LINCOLN AVE STE AChicago, IL 60618-1807

Mailing Address1031 Wesley AveEvanston, IL 60202-1160 · (872) 226-2313

Phone(872) 226-2313

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 10, 2019

✔ NPI 1881236917 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 · 071010127

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.

4305 N LINCOLN AVE STE A, Chicago, IL 60618

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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 and accepts Medicare assignment

Dr. Mirelle Davis Bloch Psyd 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 ID8022457043

PECOS Enrollment IDI20240423002771

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 60618 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.

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 Mirelle Bloch's NPI number?

The NPI number for Mirelle Bloch is 1881236917. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Mirelle Bloch located?

Mirelle Bloch practices at 4305 N Lincoln Ave Ste A, Chicago, IL 60618. The listed phone number is (872) 226-2313.

What is Mirelle Bloch's specialty?

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

Is Mirelle Bloch enrolled in Medicare?

Yes. Mirelle Bloch 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 Mirelle Bloch was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.