Active NPI
Joel M Groner Psy D PC
- Clinical Psychologist
- Northbrook, IL
National Provider Identifier
1528178308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004322
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Northbrook, IL
- NPI 1134205636
-
- Clinical Social Worker
- Northbrook, IL
- NPI 1780761197
-
- Clinical Social Worker
- Northbrook, IL
- NPI 1134271158
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.