Organization Active NPI

McKane & Associates, PC

  • Group Psychotherapy Psychologist
  • St Charles, IL
National Provider Identifier
1962561001
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
MCKANE & ASSOCIATES, PC
Practice address
1121 E Main St
#210
St Charles, IL 60174-2205
Phone
(630) 377-7226
Fax
(630) 377-8826
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Maureen McKane, LCSW
Title
Director
Phone
(630) 377-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

1121 E Main St
#210
St Charles, IL 60174-2205

Mailing address

1121 E Main STR
#210
St Charles, IL 60174
Phone (630) 377-7226

Other identifiers 1

IdentifierTypeStateIssuer
0004532166OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • McKane and Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

127 S 1st St
Ste 206
Geneva, IL 60134
Phone (630) 262-0588

Practitioners & 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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1962561001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MAIN STR",
            "address_2": "#210",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-377-7226",
            "fax_number": "630-377-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MAIN ST",
            "address_2": "#210",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742205",
            "telephone_number": "630-377-7226",
            "fax_number": "630-377-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKANE & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MCKANE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-377-7226",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0004532166",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKane and Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.