Organization Active NPI

Okeefe & Associates

  • Psychologist
  • Chicago, IL
National Provider Identifier
1750451753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
OKEEFE & ASSOCIATES
Practice address
5845 No St Johns CT
Chicago, IL 60646-6048
Phone
(773) 205-7613
Fax
(773) 205-7613
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerald Okeefe, PHDNPI 1427237536
Title
President
Phone
(773) 205-7613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 2549-057 WI
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X IL Primary

Addresses

Primary practice location

5845 No St Johns CT
Chicago, IL 60646-6048

Mailing address

5845 No St Johns CT
Chicago, IL 60646-6048
Phone (773) 205-7613

Other identifiers 1

IdentifierTypeStateIssuer
576200OtherILBC BS

Other names 1

  • Acevedo OKeefe & Associates Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750451753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 NO ST JOHNS CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466048",
            "telephone_number": "773-205-7613",
            "fax_number": "773-205-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 NO ST JOHNS CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466048",
            "telephone_number": "773-205-7613",
            "fax_number": "773-205-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEEFE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEEFE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-205-7613",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2549-057",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "576200",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acevedo OKeefe & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.