Genevieve Conkey, PSY.D.
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Glencoe, IL
NPI 1760634752 · NPPES record last updated Oct 21, 2008
Key facts
- NPI
- 1760634752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- 071007357 (IL)
- Practice address
- 899 Skokie Boulevard
#204
Glencoe, IL 60022-4022 - Phone
- (847) 559-3240
- Fax
- (847) 559-3224
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007357 | IL | MD | Clinical Child & Adolescent Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 071007357 | IL | Yes |
Addresses
Primary practice location
899 Skokie Boulevard
#204
Glencoe, IL 60022-4022
Mailing address
899 Skokie Boulevard
#204
Glencoe, IL 60022-4022
Phone (847) 559-3240
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- Chicagoland Therapy Associates LTD
- Christopher L. Johnston,PH.D.
- Conviser Group
- Conviser Group PLLC
- Jenny H Conviser
- Nancy J Davis
- Dental Associates, LLC
All providers in Glencoe, IL · Clinical Child & Adolescent Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.