Active NPI
Paul Sheehan Killion, M.D.
- Psychiatry Physician
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036076641
- Practice address
- 12255 S 80TH Avenue
Suite 202
Palos Heights, IL 60463 - Phone
- (708) 923-7878
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036076641 | IL | Primary |
Addresses
Primary practice location
12255 S 80TH Avenue
Suite 202
Palos Heights, IL 60463
Mailing address
12255 S 80TH Avenue
Suite 202
Palos Heights, IL 60463
Phone (708) 923-7878
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7229P | Other | IL | CATERPILLAR |
| 036076641 | Medicaid | IL | |
| 363827229 09 | Other | IL | JOHN DEERE |
| 0991516762 | Other | IL | BCBS |
| 219043 | Other | IL | MAGELLAN |
| 068252 | Other | IL | VALUE BEHAVIORAL HEALTH |
| L029112 | Other | IL | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- East Tennessee State University Quillen College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
103 Commercial St
Suite 2
Brockton, MA 02302-3133
Phone (508) 521-2200
140 High St
Suite 230
Springfield, MA 01199-1006
Phone (508) 521-2200
1565 N Main St
Fall River, MA 02720-2972
Phone (508) 324-0328
360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (508) 521-2200
37 Water St
Suite 1
Wakefield, MA 01880-3044
Phone (508) 521-2200
607 Pleasant St
Suite 115
Attleboro, MA 02703-2570
Phone (508) 521-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269827 | MA | MD | Registered Nurse |
| 036076641 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SB Transitional Sub, LLC | Current | Accepting new patients | |
| The Thresholds | Past | Accepting new patients |
Locations
103 Commercial St
Ste 2
Brockton, MA 02302
1115 W Chestnut St
Ste 202
Brockton, MA 02301
Phone (508) 824-1355
103 Commercial St
Brockton, MA 02302
Phone (508) 521-1020
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1083590996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982797692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 S 80TH AVENUE",
"address_2": "SUITE 202",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-923-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 S 80TH AVENUE",
"address_2": "SUITE 202",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-923-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLION",
"first_name": "PAUL",
"middle_name": "SHEEHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036076641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CATERPILLAR",
"identifier": "7229P",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036076641",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "363827229 09",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0991516762",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "219043",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE BEHAVIORAL HEALTH",
"identifier": "068252",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "L029112",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.