Oak Forest Psychological Service, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

OAK FOREST PSYCHOLOGICAL SERVICE, P.C.

Practice address

133 Mohawk Dr
Bourbonnais, IL 60914-1349

Phone

(815) 937-4790

NPI assigned

Mar 13, 2008

Organization subpart

Yes

Parent organization

OAK FOREST PSYCHOLOGICAL SERVICE, P.C.As reported in NPPES

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

Authorized official

Name

Mrs. Samira Sweis

Title

Office Manager

Phone

(708) 215-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Oak Forest Psychological Service

  • Clinical Psychologist
  • Countryside, IL
  • NPI 1265487060

  O20031210000634

  Same enrollment
• Oak Forest Psychological Service, P.C.

  • Psychiatry Physician
  • Frankfort, IL
  • NPI 1306017744

  O20031210000634

  Same enrollment

Part of

Oak Forest Psych Servic

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1669643003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254682",
            "telephone_number": "708-215-8400",
            "fax_number": "708-215-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MOHAWK DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141349",
            "telephone_number": "815-937-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK FOREST PSYCHOLOGICAL SERVICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK FOREST PSYCHOLOGICAL SERVICE, P.C.",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SWEIS",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-215-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Nordmeyer
• Janet Mary Notton
• Uzoma Nwakibu, MD
• Thomas O'Connor, M.D.
• Oak ASC, LLC
• Oasis Transportation LLC
• Derek Leo Oconnor, DDS
• Kelly L Oconnor, DDS
• Dexter Odeneal
• Kirstin Olha, MSN, APRN, FNP-BC

• Psychiatry Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.