Active NPI
Grove Psychological Services
- Clinical Psychologist
- Buffalo Grove, IL
National Provider Identifier
1154861466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-007893
- Legal business name
- GROVE PSYCHOLOGICAL SERVICES
- Practice address
- 480 Castlewood LN
Buffalo Grove, IL 60089-1616 - Phone
- (847) 977-5766
- NPI assigned
- Mar 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Bailey, PSYD
- Title
- Clinical Psychologist
- Phone
- (847) 977-5766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-007893 | IL | Primary |
Addresses
Primary practice location
480 Castlewood LN
Buffalo Grove, IL 60089-1616
Mailing address
480 Castlewood LN
Buffalo Grove, IL 60089-1616
Phone (888) 237-3222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491436800000",
"number": "1154861466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 CASTLEWOOD LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891616",
"telephone_number": "888-237-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 CASTLEWOOD LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891616",
"telephone_number": "847-977-5766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-06",
"last_updated": "2017-04-06",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "847-977-5766",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-007893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.