Individual provider Active NPI

Abbey L Graves, PSY.D.

  • Clinical Psychologist
  • Hanover Park, IL
National Provider Identifier
1326082850
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005005 Issued in IL
Practice address
1240 Bamberg Court Suite 3a
Village Counseling Center
Hanover Park, IL 60133
Phone
(847) 372-6599
NPI assigned
Jun 15, 2006
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005005 IL Primary

Addresses

Primary practice location

1240 Bamberg Court Suite 3a
Village Counseling Center
Hanover Park, IL 60133

Mailing address

1240 Bamberg Court Suite 3a
Village Counseling Center
Hanover Park, IL 60133
Phone (630) 372-6599

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
071-005005ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Buffalo Grove Nutrition CurrentSince Dec 1, 2016 Accepting new patients
Oak Forest Psychological Service Clinical Past Accepting new patients
Northern Lights Guidance and Counseling LLC Clinical Past Accepting new patients

Locations

1222 N Eola Rd
Aurora, IL 60502
Phone (630) 499-8804

1301 Pyott Rd
#208A
Lake in the Hills, IL 60156

175 E Hawthorn Pkwy
Ste 23
Vernon Hills, IL 60061

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1326082850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BAMBERG COURT SUITE 3A",
            "address_2": "VILLAGE COUNSELING CENTER",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "60133",
            "telephone_number": "630-372-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BAMBERG COURT SUITE 3A",
            "address_2": "VILLAGE COUNSELING CENTER",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "60133",
            "telephone_number": "847-372-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ABBEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.