Active NPI
Keys to Care Psychological Services, LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1932734548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- KEYS TO CARE PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 325 N Wells St
Chicago, IL 60654-7024 - Phone
- (312) 467-2506
- NPI assigned
- Mar 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keeshawna Brooks, PHD, NCSP, LP
- Title
- Clinical Psychologist/Owner
- Phone
- (312) 772-3678
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Health Service Psychologist | 103TH0100X | |||
| School Psychologist | 103TS0200X |
Addresses
Primary practice location
325 N Wells St
Chicago, IL 60654-7024
Mailing address
901 Lake St # 2027
Oak Park, IL 60301-1286
Phone (312) 772-3678
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1932734548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 LAKE ST # 2027",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011286",
"telephone_number": "312-772-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N WELLS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606547024",
"telephone_number": "312-467-2506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYS TO CARE PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "KEESHAWNA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "312-772-3678",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, NCSP, LP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.