Gregg Calvird

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.007295 Issued in IL

Practice address

1300 W Belmont Ave
Suite 400
Chicago, IL 60657

Phone

(773) 880-1310

Fax

(773) 880-1321

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By the provider in NPPES

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 names 1

• Cal Calvird Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Live Oak, Inc.

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1629141163
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1376816132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 W BRYN MAWR AVE",
            "address_2": "2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604285",
            "telephone_number": "773-405-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-880-1310",
            "fax_number": "773-880-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVIRD",
        "first_name": "GREGG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.007295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAL",
            "last_name": "CALVIRD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clarissa Lucinda Calvillo
• James Calvin, M.D.
• Olivia Calvin, LCSW
• Travon Calvin
• Yolanda Calvin, PHARMD
• Tyler David Calway
• Nathan Calzadilla
• Maria E Calzonzi
• Cam Medical Group S.C.
• Annie Camacho Cue, LCSW

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.