Heather McDermott PSYD PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEATHER MCDERMOTT PSYD PLLC

Practice address

727 Kent Rd
Kenilworth, IL 60043-1031

Phone

(808) 285-4776

NPI assigned

Jul 4, 2021

Organization subpart

No

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

Authorized official

Name

Heather McDermottNPI 1023458791

Title

Managing Member

Phone

(808) 285-4776

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather McDermott, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1023458791
  NPD Authorized official

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625356800000",
    "number": "1881265528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600430083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 KENT RD",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431031",
            "telephone_number": "808-285-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER MCDERMOTT PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "808-285-4776"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.adultandchildpsychologist.com",
            "affiliation": "N",
            "address_1": "727 Kent Rd",
            "city": "Kenilworth",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600431031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Kenilworth, IL
• Providers in Kenilworth, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.