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MCKANE & ASSOCIATES PC NPI 1962561001


NPI Information

NPI: 1962561001
Provider Name: MCKANE & ASSOCIATES, PC

Former Legal Business Name: MCKANE AND ASSOCIATES

Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
1121 E MAIN ST
#210
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-7226
Get Directions

MCKANE & ASSOCIATES, PC is a group psychotherapy psychologist in St Charles, IL. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. MCKANE & ASSOCIATES, PC NPI is 1962561001. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mckane And Associates.

The provider's business location address is:

1121 E MAIN ST
#210
ST CHARLES, IL
ZIP 60174-205
Phone: (630) 377-7226
Fax: (630) 377-8826

The provider's authorized official is Maureen Mckane .
The authorized official title is Director and has the following contact phone number (630) 377-7226.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/6/2011.


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
1103TP2701XPsychologistGroup PsychotherapyYes

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
1210701MEDICARE ID-TYPE UNSPECIFIED
20004532166OTHERILLINOISBLUE CROSS BLUE SHIELD

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: 5/5/2024

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