Gregory Anthony Washington II

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Practice address

1417 Lawrence Cres
Flossmoor, IL 60422-1716

Phone

(773) 544-8221

NPI assigned

Jul 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1174259329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 LAWRENCE CRES",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221716",
            "telephone_number": "773-544-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 LAWRENCE CRES",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221716",
            "telephone_number": "773-544-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "GREGORY",
        "middle_name": "ANTHONY",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1417 Lawrence Cres",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604221716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Walker
• Jamia Rachelle Walker, LCPC
• Romuald C Warakomski, D.O.
• Jada Ward
• Angela Gail Washington, ED.D.
• Patricia Ashley Washington, LAC, DAOM, OMD
• Sabrina Washington, DHA
• Michelle Watts
• WCS Occupational Rehabilitation & Sports Medicine, Inc.
• Cindy Weatherspoon

• Group Psychotherapy Psychologist in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Group Psychotherapy Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.