Organization Active NPI

Joy Prepejchal PSYD SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orland Park, IL
National Provider Identifier
1043517600
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
071.007842 Issued in IL
Legal business name
JOY PREPEJCHAL PSYD SC
Practice address
15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162
Phone
(708) 364-0580
Fax
(708) 364-0480
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Joy Prepejchal, PSYD
Title
President/Clinical Psychologist
Phone
(708) 364-0480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 071.007842 IL Primary

Addresses

Primary practice location

15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162

Mailing address

15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162
Phone (708) 364-0580

National Provider Directory

National Provider Directory

Locations

15010 S Ravinia Ave
Ste 15
Orland Park, IL 60462
Phone 7083640580 ext. 1040

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1043517600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-364-0580",
            "fax_number": "708-364-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-364-0580",
            "fax_number": "708-364-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY PREPEJCHAL PSYD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "PREPEJCHAL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-364-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071.007842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.