Active NPI
Kevin Patrick McDunn, PSYD
- Clinical Psychologist
- Oak Lawn, IL
National Provider Identifier
1417515891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010038
- Practice address
- 10522 S Cicero Ave Ste 401
Oak Lawn, IL 60453-5288 - Phone
- (248) 396-0938
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.010038 | IL | Primary |
Addresses
Primary practice location
10522 S Cicero Ave Ste 401
Oak Lawn, IL 60453-5288
Mailing address
605 W Madison St Apt 2001
Chicago, IL 60661-2469
Phone (248) 396-0938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010038 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin P. McDunn, PSYD, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
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- Chicago, IL
- NPI 1184223133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1417515891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W MADISON ST APT 2001",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606612469",
"telephone_number": "248-396-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10522 S CICERO AVE STE 401",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535288",
"telephone_number": "248-396-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUNN",
"first_name": "KEVIN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.