Alexa Keramidas, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.010902 Issued in IL

Practice address

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227

Phone

(773) 835-4750

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Missouri, Kansas City, School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilience Psychological Services PCGroup PAC ID 0547568891, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resilience Psychological Services, PC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1629443536
  Medicare reassignment Care Compare group NPD
• Interconnectivity Psychological Services PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1760367163
  NPD Authorized official

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1780398636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "773-835-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "773-835-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERAMIDAS",
        "first_name": "ALEXA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.010902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Lee Keppeler, LCSW
• Ana L Keppke, M.D.
• Peggy Longman Kepple, MSW,LCSW, CADC, GC-C
• Megan Keppler
• Laura Keprta
• Abby Kerbis
• David Kerbow
• John Kerchberger
• Jillian Ann Kerchen, MA, LPC
• Daniel Kerekes

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.