Graham Psychological Consulting, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007159 Issued in IL

Legal business name

GRAHAM PSYCHOLOGICAL CONSULTING, INC

Practice address

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

Phone

(773) 501-3557

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Anna Graham, PSY.D.NPI 1093716466

Title

Clinical Psychologist

Phone

(773) 501-3557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Graham Pshchological Consulting and Restoration, Inc

  • Clinical Psychologist
  • Merrillville, IN
  • NPI 1932392537

  O20071017000824

  Same enrollment

Locations

Practitioners 1

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

• Patricia Anna Graham, PSYD., HSPP

  • Clinical Psychologist
  • Schererville, IN
  • NPI 1093716466

  IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1144548934",
    "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"
        },
        {
            "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": {
        "organization_name": "GRAHAM PSYCHOLOGICAL CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-501-3557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macey Gonzales
• Jorge A Gonzalez, M.D.
• Michael Anthony Gordon, D.D.S.
• Donna Jean Govert
• Kaitlyn Govert, PT, DPT
• Patricia Anna Graham, PSYD., HSPP
• Grand Smiles, PC
• Donald Clifford Graves, DPM
• Dana Gritteres
• Claire Gronek, RD

• 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 6, 2023; 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.