Organization Active NPI

Joel M Groner Psy D PC

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1528178308
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004322 Issued in IL
Legal business name
JOEL M GRONER PSY D PC
Practice address
666 Dundee Road
Suite 1701
Northbrook, IL 60062
Phone
(847) 850-9420
Fax
(847) 892-7301
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Mr. Joel Martin Groner, PSY D
Title
Owner
Phone
(847) 604-4069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071004322 IL Primary

Addresses

Primary practice location

666 Dundee Road
Suite 1701
Northbrook, IL 60062

Mailing address

666 Dundee Road
Suite 1701
Northbrook, IL 60062
Phone (847) 604-4069

National Provider Directory

National Provider Directory

Locations

666 Dundee Rd
Ste 1702
Northbrook, IL 60062
Phone (847) 205-1222

Practitioners & affiliated clinicians

Practitioners 3

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1528178308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE ROAD",
            "address_2": "SUITE 1701",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-604-4069",
            "fax_number": "847-564-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE ROAD",
            "address_2": "SUITE 1701",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-850-9420",
            "fax_number": "847-892-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M GRONER PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "GRONER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-604-4069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.