MKP Psychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MKP PSYCHOLOGY

Practice address

820 Shannon Lake CT
Westmont, IL 60559-2593

Phone

(312) 515-7841

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Manasa K Perera, PHDNPI 1447606751

Title

Clinical Psychologist

Phone

(312) 515-7841

Specialties & licenses 1

Addresses

Practitioners 1

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

• Manasa K Perera, PHD

  • Clinical Psychologist
  • Westmont, IL
  • NPI 1447606751
  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1134801780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SHANNON LAKE CT",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592593",
            "telephone_number": "312-515-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SHANNON LAKE CT",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592593",
            "telephone_number": "312-515-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKP PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "MANASA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-515-7841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Path Psychotherapy
• Ana Monica Mirica
• Mahum Mirza, DO
• Christina Mitsdarffer
• John Mizwicki
• Ketan R Mody, M.D.
• Juned Ali Khan Mohammed, DDS
• Saba Fatima Mohiuddin
• Stephanie Therese Monroe, BCBA
• Noah Montalto, PT, DPT

• Clinical Psychologist in Westmont, IL
• Providers in Westmont, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.