MICHAEL HANDWERK (PHD) – Clinical Psychologist, NPI 1366596611

MICHAEL HANDWERK (PHD) is a healthcare provider. based in Eldorado, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 490 (NE). The NPI Number for MICHAEL HANDWERK (PHD) is 1366596611

Main info

Male
Name
MICHAEL HANDWERK (PHD)
NPI
1366596611
Phone
(618) 273-7723
Address
1007 US HIGHWAY 45 N
Enumeration Date
23 January 2007
Last Update Date
3 March 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for MICHAEL HANDWERK (PHD)

  • State Highway 26, Town of Eldorado, Fond du Lac County, Wisconsin, 54932, United States

    ELDORADO, IL 629303767

    Phone: (618) 273-7723

    Fax: (618) 273-3384

    Mailing address matches the actual address.

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: 2008-06-11

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
I20080611000309IClinical PsychologistILTBD

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

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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 62930)

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Reviews

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Frequently asked questions

Does MICHAEL HANDWERK (PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL HANDWERK (PHD) uses 1366596611.
Does the file indicate MICHAEL HANDWERK (PHD) is practicing under active NPI?
Directory data currently reports MICHAEL HANDWERK (PHD) as active.
What is MICHAEL HANDWERK (PHD)'s specialty?
The listing groups MICHAEL HANDWERK (PHD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL HANDWERK (PHD)?
MICHAEL HANDWERK (PHD)'s geographic hint is Eldorado, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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