Shivroup K. Grewal, PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SHIVROUP K. GREWAL, PSYD, LLC

Practice address

2724 N Kedzie Ave
Chicago, IL 60647-1514

Phone

(312) 508-3970

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Shivroup GrewalNPI 1861751679

Title

Clinical Psychologist/Owner

Phone

(312) 508-3970

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shivroup K Grewal, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1861751679
  NPD (past) Authorized official

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1487128559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 W HARRISON ST APT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471514",
            "telephone_number": "312-508-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVROUP K. GREWAL, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "SHIVROUP",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "312-508-3970"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armin Shivazad, M.D.
• Anuradha Shivde, M.D.
• Kyle Shiver, LPC
• Miller Shivers, PH.D.
• Shazia Shivji, MD
• Jennifer Shlaes, PHD
• Kimberly Shlaes
• Sarah Esther Shlemon, LCSW
• David Aaron Shlensky, M.D.
• Jordan Shlensky

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.