Organization Active NPI

McKeever Health and Clinical Services, LLC

  • Clinical Psychologist
  • Flossmoor, IL
National Provider Identifier
1013495019
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008993 Issued in IL
Legal business name
MCKEEVER HEALTH AND CLINICAL SERVICES, LLC
Practice address
2713 Flossmoor Rd
Flossmoor, IL 60422-1100
Phone
(708) 719-1897
Fax
(708) 726-5249
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelley McKeever, PSY DNPI 1275087405
Title
Clinical Psychologist
Phone
(313) 729-9376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 071.008993 IL Primary

Addresses

Primary practice location

2713 Flossmoor Rd
Flossmoor, IL 60422-1100

Mailing address

1050 Holbrook Rd Apt P
Homewood, IL 60430-4514
Phone (313) 729-9376

Other practice location 1

19630 Governors Hwy Ste 8
Flossmoor, IL 60422-2079
Phone (313) 729-9376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303000148 IL Part B Supplier - Clinic/Group Practice 9931515764 Receives reassigned benefits from 1 practitioner
Practice locations: Flossmoor, IL

National Provider Directory

National Provider Directory

Locations

2713 Flossmoor Rd
Flossmoor, IL 60422
Phone (708) 719-1897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1013495019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HOLBROOK RD APT P",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304514",
            "telephone_number": "313-729-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 FLOSSMOOR RD",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221100",
            "telephone_number": "708-719-1897",
            "fax_number": "708-726-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19630 Governors Hwy Ste 8",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "604222079",
            "country_code": "US",
            "telephone_number": "313-729-9376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCKEEVER HEALTH AND CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-729-9376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.