Active NPI
Colleen McKeown
- Behavior Analyst
- Morton Grove, IL
National Provider Identifier
1518464213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23999
- Practice address
- 8145 River Dr Ste 101
Morton Grove, IL 60053-2645 - Phone
- (224) 470-1111
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-23999 | IL | Primary |
Addresses
Primary practice location
8145 River Dr Ste 101
Morton Grove, IL 60053-2645
Mailing address
8145 River Dr Ste 101
Morton Grove, IL 60053-2645
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bys Speech and Occupational Therapy Services, LLC | Behavior Analyst | Past | 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.
-
- Speech-Language Pathologist
- Darien, IL
- NPI 1316224462
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1518464213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8145 RIVER DR STE 101",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8145 RIVER DR STE 101",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532645",
"telephone_number": "224-470-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEOWN",
"first_name": "COLLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-16-23999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.