Active NPI
Meghan Jean
- Behavior Analyst
- Orland Park, IL
National Provider Identifier
1821722513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-58998
- Practice address
- 14315 108TH Ave Ste 230
Orland Park, IL 60467-5701 - Phone
- (708) 675-2100
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-58998 | IL | Primary |
Addresses
Primary practice location
14315 108TH Ave Ste 230
Orland Park, IL 60467-5701
Mailing address
15701 Peggy LN Apt 1
Oak Forest, IL 60452-3182
Phone (708) 209-7943
Other practice location 1
4413 Progress Blvd
Peru, IL 61354-1109
Phone (888) 476-8485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658620800000",
"number": "1821722513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15701 PEGGY LN APT 1",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604523182",
"telephone_number": "708-209-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14315 108TH AVE STE 230",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675701",
"telephone_number": "708-675-2100"
}
],
"practiceLocations": [
{
"address_1": "4413 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Peru",
"state": "IL",
"postal_code": "613541109",
"country_code": "US",
"telephone_number": "888-476-8485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN",
"first_name": "MEGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-24",
"certification_date": "2022-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-22-58998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.