MEDICARE: MICHAEL CHRISTOPHER SCHWARTZ PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3002	OR
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1245688811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CHRISTOPHER SCHWARTZ PHD

Provider Business Mailing Address
First Line	:	5811 N WINTHROP AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-0227
Country	:	US
Telephone Number	:	650-766-2777
Fax Number	:

Provider Business Practice Location Address
First Line	:	5811 N WINTHROP AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-3511
Country	:	US
Telephone Number	:	650-766-2777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	03/02/2026

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