Active NPI
Abbey L Graves, PSY.D.
- Clinical Psychologist
- Hanover Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005005
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-005005 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC of Buffalo Grove Nutrition | Current | 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.
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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.