Patricia Anna Graham, PSYD., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042049A Issued in IN

Practice address

1112 US Highway 41 Ste 108
Schererville, IN 46375-1361

Phone

(773) 501-3557

NPI assigned

Aug 9, 2005

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Graham Psychological Consulting, Inc

  • Clinical Psychologist
  • Schererville, IN
  • NPI 1144548934

  IL

  Medicare reassignment NPD Authorized official
• Graham Pshchological Consulting and Restoration, Inc

  • Clinical Psychologist
  • Merrillville, IN
  • NPI 1932392537
  Authorized official Same address or phone

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1093716466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 KIRK ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763419",
            "telephone_number": "773-501-3557",
            "fax_number": "773-501-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 US HIGHWAY 41 STE 108",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751361",
            "telephone_number": "773-501-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3831 Kirk St",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600763419",
            "country_code": "US",
            "telephone_number": "773-501-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PATRICIA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PSYD., HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007159",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042049A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200818220",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "060132-000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000363699",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge A Gonzalez, M.D.
• Michael Anthony Gordon, D.D.S.
• Donna Jean Govert
• Kaitlyn Govert, PT, DPT
• Graham Psychological Consulting, Inc
• Grand Smiles, PC
• Donald Clifford Graves, DPM
• Dana Gritteres
• Claire Gronek, RD
• Brock Andru Gross, DC

• Clinical Psychologist in Schererville, IN
• Providers in Schererville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.

Verify at the official NPI Registry.