Deidre Alexander PSYD SC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017.008341 Issued in IL

Legal business name

DEIDRE ALEXANDER PSYD SC

Practice address

1000 Jorie Blvd Ste 119
Oak Brook, IL 60523-4463

Phone

(630) 309-2989

Fax

(630) 790-3804

NPI assigned

Apr 16, 2012

Organization subpart

Yes

Parent organization

DEIDRE ALEXANDER PSYD SCAs reported in NPPES

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

Authorized official

Name

DC McAuliffe

Title

Assistant

Phone

(708) 712-6183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Deidre Alexander PSYD SC

Locations

Practitioners 2

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

• Deidre McAuliffe Alexander, PSYD

  • Clinical Psychologist
  • Oak Brook, IL
  • NPI 1851405807
  Medicare reassignment NPD
• Emad Mohammed Amer, MD

  • Psychiatry Physician
  • Bloomingdale, IL
  • NPI 1700992799
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1528325438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 119",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234463",
            "telephone_number": "630-309-2989",
            "fax_number": "630-790-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 119",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234463",
            "telephone_number": "630-309-2989",
            "fax_number": "630-790-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIDRE ALEXANDER PSYD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEIDRE ALEXANDER PSYD SC",
        "enumeration_date": "2012-04-16",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "MCAULIFFE",
        "authorized_official_first_name": "DC",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "708-712-6183"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "017.008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Dawson, M.D.
• Scott Henry De Valk, PSY.D., LCSW
• Katherine Debre, LPC
• Amanda M Decimo, CRNA
• Allison Deckinga
• Dyani Delgado, RBT
• Anthony Abdul Deneal
• Elizabeth Denisenko, WHNP
• Evan Owen Foster Deranja, M.D., PH.D.
• Derick Dermatology, PLLC

• Clinical Psychologist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.