K M Doheny PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

K M DOHENY PC

Practice address

307 N Michigan Ave
Suite 802
Chicago, IL 60601-5311

Phone

(312) 409-0899

Fax

(773) 472-1639

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Mary Doheny, PSY.D.NPI 1316067432

Title

Clinical Psychologist

Phone

(312) 409-0899

Specialties & licenses 1

Addresses

Locations

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.

• Kathryn Mary Doheny, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1316067432
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811017932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W WRIGHTWOOD AVE",
            "address_2": "UNIT 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146283",
            "telephone_number": "312-409-0899",
            "fax_number": "773-472-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MICHIGAN AVE",
            "address_2": "SUITE 802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015311",
            "telephone_number": "312-409-0899",
            "fax_number": "773-472-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K M DOHENY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOHENY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-409-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.