NPIMap

Organization Active NPI

Irving and Associates in Behavioral Health PC

  • Counseling Psychologist
  • Downers Grove, IL
National Provider Identifier
1861772428
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
071005377 Issued in IL
Legal business name
IRVING AND ASSOCIATES IN BEHAVIORAL HEALTH PC
Practice address
5201 Washington St Ste 2
Downers Grove, IL 60515-5068
Phone
(630) 241-5689
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Kathleen Irving, PHDNPI 1972622355
Title
President
Phone
(630) 241-5689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 071005377 IL Primary

Addresses

Primary practice location

5201 Washington St Ste 2
Downers Grove, IL 60515-5068

Mailing address

5201 Washington St Ste 2
Downers Grove, IL 60515-5068
Phone (630) 241-5689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000069 IL Part B Supplier - Clinic/Group Practice 7810164720 Receives reassigned benefits from 2 practitioners
Practice locations: Downers Grove, IL

National Provider Directory

National Provider Directory

Locations

5151 Mochel Dr
Ste 307
Downers Grove, IL 60515
Phone (630) 963-5390

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1861772428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WASHINGTON ST STE 2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155068",
            "telephone_number": "630-241-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WASHINGTON ST STE 2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155068",
            "telephone_number": "630-241-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING AND ASSOCIATES IN BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-241-5689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "071005377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.