Organization Active NPI

Grove Psychological Services

  • Clinical Psychologist
  • Buffalo Grove, IL
National Provider Identifier
1154861466
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-007893 Issued in IL
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

Updated by the provider on Apr 6, 2017

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.