Gabrielle Granoff, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

255 Revere Dr
Northbrook, IL 60062-1564

Phone

(847) 412-4350

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Solway Psychology LLC

  • Psychologist
  • Chicago, IL
  • NPI 1083191753
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1457605420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564",
            "telephone_number": "847-412-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564",
            "telephone_number": "847-412-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANOFF",
        "first_name": "GABRIELLE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Graham
• Janese Nicole Graham
• Michael Bernard Graham, M.D.
• Vanessa Graham
• Jennifer Gramann, SLP
• Cara Marthea Grant, OTR
• Erika Gravagno, RBT-17-43276
• Sulie Cohn Grayson, MSW LCSW
• Mark J Greco, BS, DPT
• Green Fields Therapy LLC

• Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.