Kainos Center for Ecclesial Psychology, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KAINOS CENTER FOR ECCLESIAL PSYCHOLOGY, INC

Practice address

26W068 Jewell Rd
Wheaton, IL 60187-3931

Phone

(331) 806-7511

NPI assigned

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Michael Dally, LCPC, EMDRNPI 1639444573

Title

Founder

Phone

(331) 806-7511

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Michael Dally, L.C.P.C.

  • Mental Health Counselor
  • Glen Ellyn, IL
  • NPI 1639444573
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1477337145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W068 JEWELL RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873931",
            "telephone_number": "331-806-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W068 JEWELL RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873931",
            "telephone_number": "331-806-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAINOS CENTER FOR ECCLESIAL PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "DALLY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "331-806-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC, EMDR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Just for Kids Pediatrics PC
• Muath Kabuka
• Tara A Kacmarcik, PSY.D.
• Amy Lee Kaczor, RDN
• Bradley C. Kahle, PSYD
• Janet Kaiser
• Athena Kakolires
• Courtney Ann Kalebich, MS., CCC-SLP/L
• Diya Kalra
• Suangna Kalra

• Community/Behavioral Health Agency in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.