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Deactivated NPI 1679642003 Deactivated / Inactive NPI Male Practitioner

Dr. Michael L Watrous , PSYD LCPC

Psychologist - Clinical • Elgin, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Watrous has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2006
NPI Deactivation Date July 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Watrous, PSYD LCPC was a registered Psychologist - Clinical practicing in Elgin, IL. Throughout an active medical career spanning 20 years, Dr. Watrous provided care at the practice location at 2050 LARKIN AVE until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

2050 Larkin Ave
Suite 202

Elgin, IL 60123

Telephone 8476972400
Fax 8476972438
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Elgin, IL (4140 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Antonio Hernandez-Silva , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073371951

Psychiatric-Mental Health Nurse Practitioner

Jamie Cadieux

Counselor - Professional

NPI 1104943315
Steven Schaffer , MA

Counselor - Professional

NPI 1114005915

Master of Arts

Carolyn Pugh , PA-C

Physician Assistant

NPI 1194898536

Physician Assistant (Certified)

Dr. Gayatri Baker , DO

Psychiatry & Neurology - Psychiatry

NPI 1205219300

Doctor of Osteopathic Medicine (D.O.)

Kelsey Maleski , LCSW

Social Worker - Clinical

NPI 1285187278

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2050 LARKIN AVE, SUITE 202, ELGIN, IL 60123 (Tel: 8476972400)

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Updated Business Mailing Address July 08, 2007

Registered at 2050 LARKIN AVE, SUITE 202, ELGIN, IL 60123 (Tel: 8476972400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL WATROUS, PSYD LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist

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Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679642003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: July 08, 2007
Deactivation Date: July 02, 2026

Mailing Address

2050 Larkin Ave, Suite 202

Elgin, IL 60123

Phone: 8476972400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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