Individual provider Active NPI

Keisha L Downey

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1326258401
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071011217 Issued in IL
Practice address
323 E Wacker Dr Unit 207
Chicago, IL 60601-5282
Phone
(310) 498-9700
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85598 CA
Clinical Psychologist 103TC0700X 071011217 IL Primary

Addresses

Primary practice location

323 E Wacker Dr Unit 207
Chicago, IL 60601-5282

Mailing address

323 E Wacker Dr Unit 207
Chicago, IL 60601-5282
Phone (310) 498-9700

Other practice location 1

1 E Superior St Ste 506
Chicago, IL 60611-2593
Phone (310) 498-9700

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
I20260421001339 IL Practitioner - Clinical Psychologist 6709352388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 E Superior St
Chicago, IL 60611-2507
Phone (312) 379-9199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071011217ILMDClinical Psychologist
85598CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downey Therapeutic Services LLC Clinical CurrentSince Dec 22, 2019 Accepting new patients
Bridgeway Behavioral Health LLC PastSince Dec 12, 2021 Accepting new patients
Willoughby Center for Behavioral Health, LLC Clinical Past Accepting new patients

Locations

1 E Superior St
Chicago, IL 60611
Phone (312) 754-9404

323 E Wacker Dr
Chicago, IL 60601
Phone (310) 498-9700

1 E Superior St
Ste 506
Chicago, IL 60611
Phone (312) 219-4136

Organizations & group practices 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1326258401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E WACKER DR UNIT 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015282",
            "telephone_number": "310-498-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E WACKER DR UNIT 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015282",
            "telephone_number": "310-498-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Superior St Ste 506",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112593",
            "country_code": "US",
            "telephone_number": "310-498-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "KEISHA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85598",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071011217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.