Meghann Hennelly MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.135834 Issued in IL

Legal business name

MEGHANN HENNELLY MD LLC

Practice address

122 S Michigan Ave Ste 1025
Chicago, IL 60603-6264

Phone

(312) 965-1165

NPI assigned

May 21, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meghann Hennelly, MDNPI 1881869733

Title

Sole-Member

Phone

(630) 732-6373

Specialties & licenses 1

Addresses

Locations

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.

• Meghann Hennelly

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1881869733
  NPD Authorized official

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1386135820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1025",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036264",
            "telephone_number": "312-965-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1025",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036264",
            "telephone_number": "312-965-1165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "966 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606084511",
            "country_code": "US",
            "telephone_number": "732-541-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEGHANN HENNELLY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "HENNELLY",
        "authorized_official_first_name": "MEGHANN",
        "authorized_official_title_or_position": "SOLE-MEMBER",
        "authorized_official_telephone_number": "630-732-6373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.135834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Megchelsen, PA-C
• Mena Megellie, M.D.
• Meghan Farrell LCPC LLC
• Meghan McCarville LLC (Holistic Couple and Family Therapy)
• Meghan Roekle, PSYD, LLC
• Shefali Meghpara, MA CCCSLP
• Heather E Meguire, M.S.
• Julia Ayumi Schmidt Meguro
• Csilla Bokor Megyeri, LCSW
• Abdulrahim Yusuf Mehadi, MD

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.