Organization Active NPI

Touch of Wholeness Psychological Services, LLC

  • Clinical Psychologist
  • Olympia Fields, IL
National Provider Identifier
1386002590
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008853 Issued in IL
Legal business name
TOUCH OF WHOLENESS PSYCHOLOGICAL SERVICES, LLC
Practice address
20280 Governors Dr
Suite 207
Olympia Fields, IL 60461
Phone
(708) 794-6461
NPI assigned
Feb 2, 2016
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dr. Keajuanis Malena, PSY.D.NPI 1932515822
Title
Owner
Phone
(708) 794-6461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008853 IL Primary

Addresses

Primary practice location

20280 Governors Dr
Suite 207
Olympia Fields, IL 60461

Mailing address

20280 Governors Dr
Suite 207
Olympia Fields, IL 60461

National Provider Directory

National Provider Directory
Tax ID family
Touch of Wholeness Psychological Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1386002590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 GOVERNORS DR",
            "address_2": "SUITE 207",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 GOVERNORS DR",
            "address_2": "SUITE 207",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-794-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCH OF WHOLENESS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MALENA",
        "authorized_official_first_name": "KEAJUANIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-794-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.