| Michael J. Athans, Ph.d. And Associates, Ltd. | |
|
32 Main St Suite D Park Ridge IL 60068-4060 | |
| (847) 823-4444 | |
| (847) 823-4456 |
| Full Name | Michael J. Athans, Ph.d. And Associates, Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 32 Main St, Park Ridge, Illinois |
| Authorized Official Name and Position | Michael James Athans (DIRECTOR) |
| Authorized Official Contact | 8478234444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Athans, Ph.d. And Associates, Ltd. 32 Main St Suite D Park Ridge IL 60068-4060 Ph: (847) 823-4444 | Michael J. Athans, Ph.d. And Associates, Ltd. 32 Main St Suite D Park Ridge IL 60068-4060 Ph: (847) 823-4444 |
| NPI Number | 1235100140 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 11/08/2011 |
| Medicare PECOS PAC ID | 3678590429 |
|---|---|
| Medicare Enrollment ID | O20051031000842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235100140 | NPI | - | NPPES |
| 01633134 | Other | IL | BLUE CROSS PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003398 (Illinois) | Primary |
| Provider Name | Lynda M Behrendt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831182534 PECOS PAC ID: 9830084953 Enrollment ID: I20040218000304 |
| Provider Name | Michael J Athans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760499610 PECOS PAC ID: 3577580323 Enrollment ID: I20051103000185 |
| Provider Name | Phyllis M Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346258449 PECOS PAC ID: 0840218954 Enrollment ID: I20051108000111 |
| Provider Name | Susan Ann O'grady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366814758 PECOS PAC ID: 5799055075 Enrollment ID: I20170719001499 |
| Provider Name | Jillian Marie Wickery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770816803 PECOS PAC ID: 1456610005 Enrollment ID: I20180105001355 |
Kenko Interventions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 S Washington Ave Ste 202, Park Ridge, IL 60068 Phone: 872-228-5326 | |
Crescent Moon Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1123 Fortuna Ave, Park Ridge, IL 60068 Phone: 847-975-5128 | |
New Leaf Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 Renaissance Dr, Suite 211, Park Ridge, IL 60068 Phone: 847-391-4180 Fax: 847-391-4188 | |
Pro Psych Associates Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2604 Dempster St, Suite 307, Park Ridge, IL 60068 Phone: 847-544-5102 Fax: 847-544-5103 | |
Heart & Soul Therapies, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2604 E Dempster St, Suite 306, Park Ridge, IL 60068 Phone: 847-827-8297 | |
Marks & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 N Northwest Hwy Ste 108f, Park Ridge, IL 60068 Phone: 847-299-3400 Fax: 847-299-3489 | |
Rise Above Aba Of Illinois Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068 Phone: 833-747-3222 Fax: 833-747-3244 |