Active NPI
Darnika Candice Graham, M.D.
- Psychiatry Physician
- Merrillville, IN
National Provider Identifier
1942456157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01074364A
- Practice address
- 8555 Taft St
Merrillville, IN 46410-6123 - Phone
- (219) 769-4005
- Fax
- (219) 769-2508
- NPI assigned
- Aug 7, 2008
- Last updated
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 125054229 | IL | |
| Psychiatry Physician | 2084P0800X | 01074364A | IN | Primary |
Addresses
Primary practice location
8555 Taft St
Merrillville, IN 46410-6123
Mailing address
8400 Louisiana St
Merrillville, IN 46410-6385
Phone (219) 757-1928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201255720 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125054229 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larc | Past | Accepting new patients | |
| Dupage Medical Group LTD | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lansing, IL
- NPI 1245695733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1942456157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 LOUISIANA ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106385",
"telephone_number": "219-757-1928",
"fax_number": "219-757-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8555 TAFT ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106123",
"telephone_number": "219-769-4005",
"fax_number": "219-769-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DARNIKA",
"middle_name": "CANDICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "125054229",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01074364A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201255720",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.