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1588995922 NPI number — PATRICIA O'DEA-EVANS R.N.,CCM,PMHNP, LCPC

NPI Number: 1588995922
Health Care Provider/Practitioner: PATRICIA O'DEA-EVANS R.N.,CCM,PMHNP, LCPC

Information about “1588995922” NPI (PATRICIA O'DEA-EVANS R.N.,CCM,PMHNP, LCPC) exists in 1588995922 in HTML format HTML  |  1588995922 in plain Text format TXT  |  1588995922 in PDF (Portable Document Format) PDF  |  1588995922 in an XML format XML  formats.

NPI Number : 1588995922 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588995922",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'DEA-EVANS",
    "FirstName": "PATRICIA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "R.N.,CCM,PMHNP, LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2118 PLUM GROVE RD # 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROLLING MEADOWS",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60008-1932",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-373-1712",
    "MailingAddressFaxNumber": "847-346-1901",
    "FirstLinePracticeLocationAddress": "2118 PLUM GROVE RD # 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROLLING MEADOWS",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60008-1932",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-373-1712",
    "PracticeLocationAddressFaxNumber": "847-346-1901",
    "EnumerationDate": "01/25/2010",
    "LastUpdateDate": "02/03/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225800000X",
          "TaxonomyName": "Recreation Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "180.003449",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WA2000X",
          "TaxonomyName": "Administrator Registered Nurse",
          "LicenseNumber": "240972",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WC0400X",
          "TaxonomyName": "Case Management Registered Nurse",
          "LicenseNumber": "041-354355",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "17704-33",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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