Individual provider Active NPI

Kelley McKeever, PSY. D.

  • Clinical Psychologist
  • Flossmoor, IL
National Provider Identifier
1275087405
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008993 Issued in IL
Practice address
2713 Flossmoor Rd
Flossmoor, IL 60422-1100
Phone
(708) 719-1970
Fax
(708) 726-5249
NPI assigned
Aug 4, 2016
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008993 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 (708) 799-8384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001790 IL Practitioner - Clinical Psychologist 7517252240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2713 Flossmoor Rd
Unit 2E
Flossmoor, IL 60422-1100
Phone (708) 719-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKeever Health and Clinical Services, LLC Clinical CurrentSince Jan 5, 2021 Accepting new patients
Collabcore Clinical CurrentSince Dec 22, 2024 Accepting new patients

Locations

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

2713 Flossmoor Rd
Ste 101
Flossmoor, IL 60422

2713 Flossmoor Rd
Unit 2E
Flossmoor, IL 60422
Phone (708) 719-1970

10745 165th St
Orland Park, IL 60467
Phone (708) 364-5700

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1275087405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HOLBROOK RD",
            "address_2": "APT P",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304514",
            "telephone_number": "708-799-8384",
            "fax_number": "708-799-1305"
        },
        {
            "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": "708-719-1970",
            "fax_number": "708-726-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "KELLEY",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.