Patricia a McKenna PHD Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071006109 Issued in IL

Legal business name

PATRICIA A MCKENNA PHD INC.

Practice address

645 N Michigan Ave Ste 500
Chicago, IL 60611-2881

Phone

(312) 787-6173

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Patricia McKenna, PH.D.NPI 1578654414

Title

President

Phone

(312) 787-6173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Patricia Anne McKenna, PH.D.

  • Psychologist
  • Chicago, IL
  • NPI 1578654414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1992118574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112881",
            "telephone_number": "312-787-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112881",
            "telephone_number": "312-787-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A MCKENNA PHD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-787-6173",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin M Patnaude, BCBA
• Nicholas Stadis Patniyot, M.D.
• Kousiki Patra, MD
• Dimitrios Thomas Patrianakos, MD
• Thomas D Patrianakos, D.O.
• Patricia a Mueller MD PC
• Patricia Crisostomo DMD PC
• Patricia F. Katz, M.D.
• Patricia Gale, M.D., S.C.
• Patricia Gale, MD, S.C.

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.