Organization Active NPI

Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
National Provider Identifier
1457393159
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071003011 Issued in IL
Legal business name
DAVKEN ASSOCIATES, P.C.
Practice address
655 Deerfield Rd Ste 100-303
Deerfield, IL 60015-3241
Phone
(872) 216-3608
Fax
(847) 673-0875
NPI assigned
Jun 10, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Kenneth A Fils, PH.D.NPI 1487694279
Title
President
Phone
(847) 673-0718

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 071003011 IL Primary

Addresses

Primary practice location

655 Deerfield Rd Ste 100-303
Deerfield, IL 60015-3241

Mailing address

655 Deerfield Rd Ste 100-303
Deerfield, IL 60015-3241
Phone (872) 216-3608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000631 IL Part B Supplier - Clinic/Group Practice 8820901861 Receives reassigned benefits from 33 practitioners
Practice locations: Hillside, IL; Homewood, IL; Itasca, IL; Joliet, IL; Lansing, IL; Midlothian, IL; Northlake, IL; Oak Lawn, IL…

National Provider Directory

National Provider Directory

Locations

2601 N California Ave
Chicago, IL 60647
Phone (773) 278-5300

3525 W Foster Ave
Chicago, IL 60625
Phone (773) 478-7040

820 W Lawrence Ave
Chicago, IL 60640
Phone (773) 769-1551

919 Washington Park
Waukegan, IL 60085
Phone (847) 623-9100

10352 N 600 E
Demotte, IN 46310
Phone (219) 345-5211

Practitioners & affiliated clinicians

Practitioners 116

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.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1457393159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DEERFIELD RD STE 100-303",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153241",
            "telephone_number": "872-216-3608",
            "fax_number": "847-673-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DEERFIELD RD STE 100-303",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153241",
            "telephone_number": "872-216-3608",
            "fax_number": "847-673-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVKEN ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "FILS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-673-0718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.