Individual provider Active NPI

Joseph B. Keegan, PSYD

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1962418871
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
1831 Bay Scott Cir
Suite105
Naperville, IL 60540-1114
Phone
(630) 305-0464
Fax
(630) 305-0211
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

1831 Bay Scott Cir
Suite105
Naperville, IL 60540-1114

Mailing address

1831 Bay Scott Cir
Suite105
Naperville, IL 60540-1114
Phone (630) 305-0464

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
I20031219000781 IL Practitioner - Clinical Psychologist 6406754084 Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1300 Iroquois Ave
Suite 145
Naperville, IL 60563-1389
Phone 6303050464300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-004048ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Beth McLaughlin,LTD PastSince Nov 1, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962418871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 BAY SCOTT CIR",
            "address_2": "SUITE105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401114",
            "telephone_number": "630-305-0464",
            "fax_number": "630-305-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 BAY SCOTT CIR",
            "address_2": "SUITE105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401114",
            "telephone_number": "630-305-0464",
            "fax_number": "630-305-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "JOSEPH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.