NPIMap

Organization Active NPI

Ray Graham Association for People With Disabilit

  • Adult Mental Health Clinic/Center
  • Lombard, IL
National Provider Identifier
1619557659
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RAY GRAHAM ASSOCIATION FOR PEOPLE WITH DISABILIT
Practice address
1108 N Main St
Lombard, IL 60148-1362
Phone
(630) 953-9574
NPI assigned
Apr 13, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Kimberly Raye Zoeller
Title
President & Ceo
Phone
(630) 620-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1108 N Main St
Lombard, IL 60148-1362

Mailing address

901 Warrenville Rd Ste 500
Lisle, IL 60532-4319
Phone (630) 620-2222

National Provider Directory

National Provider Directory
Tax ID family
Ray Graham Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1108 N Main St
Lombard, IL 60148
Phone (331) 290-6386

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1619557659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WARRENVILLE RD STE 500",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324319",
            "telephone_number": "630-620-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481362",
            "telephone_number": "630-953-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY GRAHAM ASSOCIATION FOR PEOPLE WITH DISABILIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "ZOELLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "630-620-2222"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.