KEVIN P. MCDUNN PSYD LLC NPI 1184223133

NPI Information

NPI: 1184223133
Provider Name: KEVIN P. MCDUNN, PSYD, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
605 W MADISON ST APT 2001
CHICAGO, IL
ZIP 60661
Phone: (248) 396-0938
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KEVIN P. MCDUNN, PSYD, LLC is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. KEVIN P. MCDUNN, PSYD, LLC NPI is 1184223133. The provider is registered as an organization entity type.

The provider's business location address is:

605 W MADISON ST APT 2001
CHICAGO, IL
ZIP 60661-469
Phone: (248) 396-0938

The provider's authorized official is Kevin Patrick Mcdunn .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (248) 396-0938.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1417515891	OTHER	ILLINOIS	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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