NPIMap

Organization Active NPI

Veteran Innovation LLC

  • Clinical Psychologist
  • Burr Ridge, IL
National Provider Identifier
1386134898
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008620 Issued in IL
Legal business name
VETERAN INNOVATION LLC
Doing business as
Dr. Andrea Graves Psychological Services
Practice address
1333 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0833
Phone
(630) 337-8006
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Dr. Andrea Michelle Graves, PSY.D.NPI 1609150960
Title
Licensed Clinical Psychologist
Phone
(202) 299-6991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071008620 IL Primary

Addresses

Primary practice location

1333 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0833

Mailing address

1333 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0833
Phone (630) 337-8006

Other names 1

  • Dr. Andrea Graves Psychological Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1386134898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY STE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270833",
            "telephone_number": "630-337-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY STE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270833",
            "telephone_number": "630-337-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN INNOVATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "202-299-6991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Andrea Graves Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.