Individual
DR. MICHAEL PICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
40W222 LAFOX RD STE H1, SAINT CHARLES, IL 60175-7631
(630) 549-6497
(630) 549-6497
Mailing address
40W222 LAFOX RD STE H1, SAINT CHARLES, IL 60175-7631
(630) 549-6497
(630) 549-0942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006217
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032240595; 00445400
BC/BS PROVIDER NUMBER
IL
01
—
AETNA
AETNA INSURANCE
IL
01
—
HUMANA
HUMANA INSURANCE
IL
01
—
UNITED HEALTHCARE
UNITED HEALTHCARE
IL
Enumeration date
08/17/2006
Last updated
05/18/2023
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