Kathleen Brittney McDonough, MHS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146014285 Issued in IL

Practice address

10350 S Hamlin Ave
Chicago, IL 60655-3114

Phone

(773) 239-0718

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Imaginative SLP, LLC.

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1770173064
  NPD Authorized official

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1215495288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553114",
            "telephone_number": "773-239-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553114",
            "telephone_number": "773-239-0718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 W 92nd St",
            "address_purpose": "LOCATION",
            "city": "Hickory Hills",
            "state": "IL",
            "postal_code": "604572012",
            "country_code": "US",
            "telephone_number": "708-598-5509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "KATHLEEN",
        "middle_name": "BRITTNEY",
        "name_prefix": "Ms.",
        "credential": "MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline McDonnell, LPC
• Maeve Caitlin McDonnell, DO
• Michael McDonnell, M.D.
• Phillip C McDonnell, D.D.S.
• Erin Emily McDonough, RN, MS, APN
• Kathleen Elizabeth McDonough, MD
• Meghan McDonough
• Michele L McDonough, LCPC
• Natalie McDonough, DNP
• Nicole Elizabeth McDonough, APRN, CRNA

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.