Active NPI
Graciela Viale-Val, PSY.D.
- Forensic Psychologist
- Evanston, IL
National Provider Identifier
1265531974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- Practice address
- 836 Church
Evanston, IL 60201 - Phone
- (847) 602-1147
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | ||
| Forensic Psychologist | 103TF0200X | IL | Primary |
Addresses
Primary practice location
836 Church
Evanston, IL 60201
Mailing address
1641 Hinman Ave
Evanston, IL 60201-6041
Phone (847) 864-9514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1265531974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 HINMAN AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602016041",
"telephone_number": "847-864-9514",
"fax_number": "847-556-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 CHURCH",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60201",
"telephone_number": "847-602-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIALE-VAL",
"first_name": "GRACIELA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.