Dr Theresa Gregoire LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008969 Issued in IL

Legal business name

DR THERESA GREGOIRE LTD

Practice address

1525 E 53Rd St
Suite 605
Chicago, IL 60615-4557

Phone

(773) 771-8759

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Gregoire, PSY.DNPI 1346687035

Title

Owner

Phone

(773) 771-8759

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Theresa M Gregoire, PSY.D

  • Psychologist
  • Chicago, IL
  • NPI 1346687035
  NPD (past) Authorized official

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1891229662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST",
            "address_2": "SUITE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST",
            "address_2": "SUITE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154557",
            "telephone_number": "773-771-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THERESA GREGOIRE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "GREGOIRE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-771-8759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Selma Arain LTD
• Dr Silvia Panitch LTD (Lakeview Integrative Medicine)
• Dr Smrithi-Ann Franco Chakkalakal
• Dr Spine Chiropractic and Acupuncture LLC
• Dr Tegan a Timesh Footcare Clinic P.C.
• Dr Todd C Renn, P.C. (Ravenswood Chiropractic & Wellness Center)
• Dr Whitney Graff PLLC (Graff Psychological Services)
• Dr Zishan Bader DDS SC
• Dr. Alan P. Childs Psy.D. & Associates
• Dr. Alison Weiss, LLC

• 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 Apr 18, 2017; 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.