Active NPI
Katharine M Grinnell-Noak, PSY.D.
- Clinical Psychologist
- Oak Brook, IL
National Provider Identifier
1356492714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175 - Phone
- (630) 586-0900
- Fax
- (630) 586-9990
- NPI assigned
- Jan 14, 2007
- Last updated
- Jul 8, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175
Mailing address
2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175
Phone (630) 586-0900
Other names 1
- Katharine M Grinnell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 30, 2014 through Jun 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071005160 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perrotta and Kraus PHDS PC | Past | Accepting new patients |
Organizations & group practices 1
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": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356492714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 BUTTERFIELD RD",
"address_2": "SUITE 240",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231175",
"telephone_number": "630-586-0900",
"fax_number": "630-586-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 BUTTERFIELD RD",
"address_2": "SUITE 240",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231175",
"telephone_number": "630-586-0900",
"fax_number": "630-586-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINNELL-NOAK",
"first_name": "KATHARINE",
"middle_name": "M",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHARINE",
"last_name": "GRINNELL",
"middle_name": "M",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.