Grand Oaks Behavioral Health LLC
NPI 1124242359ActiveOrganization· Psychologist, Clinical· Libertyville, IL
Psychologist, Clinical in Libertyville, Illinois, registered in NPPES in April 2007. The authorized official on file is Marina Shakhman, PSY.D., Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124242359 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2007 |
| Last updated in NPPES | Oct 6, 2021 |
| Certified by provider | Oct 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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