MICHELLE ABELLA (PSY.D) – Clinical Psychologist, NPI 1104015197

MICHELLE ABELLA (PSY.D) is a healthcare provider. based in Libertyville, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. 071007363 (IL). The NPI Number for MICHELLE ABELLA (PSY.D) is 1104015197

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE ABELLA (PSY.D)
NPI
1104015197
Phone
(847) 680-2715
Address
31480 N US HIGHWAY 45
Enumeration Date
16 October 2007
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133593880
Graduation Year
2006 (20 years ago)
PAC ID
6305985581
Group Practice PAC ID
4981998614
Professional Enrollment ID
I20091201000349
Address ID
KS660613155OL17795STXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for MICHELLE ABELLA (PSY.D)

  • 31480 N US HIGHWAY 45

    LIBERTYVILLE, IL 600489444

    Phone: (847) 680-2715

    Fax: (847) 680-3832

    Type: Mailing

  • 17795 W 106TH ST STE 202

    OLATHE, KS 660613155

    Phone: (913) 296-0712

    Fax: (913) 273-0801

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091201000349IClinical PsychologistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981998614View full group profile
NameSpecialtyState
Clinical PsychologistKS
Mental Health CounselorMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHELLE ABELLA (PSY.D)?
MICHELLE ABELLA (PSY.D) — NPI 1104015197 — is the standard way to identify this listing.
Does the file indicate MICHELLE ABELLA (PSY.D) is practicing under active NPI?
Directory data currently reports MICHELLE ABELLA (PSY.D) as active.
What is MICHELLE ABELLA (PSY.D)'s primary classification?
Clinical Psychologist is the headline specialty for MICHELLE ABELLA (PSY.D) here. Clinical services aligned with this taxonomy classification.
What address line appears for MICHELLE ABELLA (PSY.D)?
MICHELLE ABELLA (PSY.D)'s geographic hint is Libertyville, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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