Andrea Michelle Graves, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1 Quality Dr
Department of Psychiatry
Vacaville, CA 95688-9494

Phone

(707) 624-2830

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Restoring Wellness Clinical Services PLLCGroup PAC ID 3274954722, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restoring Wellness Clinical Services, PLLC

  • Psychologist
  • Burr Ridge, IL
  • NPI 1457990343
  Medicare reassignment Care Compare group NPD Authorized official
• Veteran Innovation LLC

  • Clinical Psychologist
  • Burr Ridge, IL
  • NPI 1386134898
  NPD Authorized official

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1609150960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S FRONTAGE RD",
            "address_2": "STE 320",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276953",
            "telephone_number": "630-337-8006",
            "fax_number": "630-581-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 QUALITY DR",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889494",
            "telephone_number": "707-624-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE- BOARD OF PSYCHOLOGY",
            "identifier": "PSY26348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prentice Grant III
• Victoria Elise Grant, CNS
• Grassroots Health a Social Purpose Corporation
• Grassroots Healthcare Foundation
• Tarey Shannon Graves-Wright
• Tanya M. Greenfield, PSY.D.
• Anjalee Greenwood, PSY.D., BCBA
• Tiffany Anne Greer, LCSW
• Nicole K Gregg, M.A., CCC-SLP
• Paula Ann Gregg, PH.D.

• Psychologist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.