Individual provider Active NPI

Deidre McAuliffe Alexander, PSYD

  • Clinical Psychologist
  • Oak Brook, IL
National Provider Identifier
1851405807
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008341 Issued in IL
Practice address
1000 Jorie Blvd Ste 119
Oak Brook, IL 60523-4463
Phone
(630) 309-2989
Fax
(630) 790-3804
NPI assigned
Aug 18, 2006
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180000867 IL
Clinical Psychologist 103TC0700X 071.008341 IL Primary

Addresses

Primary practice location

1000 Jorie Blvd Ste 119
Oak Brook, IL 60523-4463

Mailing address

1000 Jorie Blvd Ste 119
Oak Brook, IL 60523-4463
Phone (630) 309-2989

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120808000150 IL Practitioner - Clinical Psychologist 5991951931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Jorie Blvd
Suite 119
Oak Brook, IL 60523-4463
Phone (630) 309-2989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180000867ILMDProfessional Counselor
071.008341ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amer & Associates SC CurrentSince May 7, 2012 Accepting new patients
Deidre Alexander PSYD SC Clinical CurrentSince Apr 27, 2012 Accepting new patients

Locations

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

1000 Jorie Blvd
Ste 119
Oak Brook, IL 60523
Phone (630) 309-2989

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1851405807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 119",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234463",
            "telephone_number": "630-309-2989",
            "fax_number": "630-790-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 119",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234463",
            "telephone_number": "630-309-2989",
            "fax_number": "630-790-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DEIDRE",
        "middle_name": "MCAULIFFE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000867",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.