Associated Clinical Psychologists, Ltd
NPI 1578665147ActiveOrganization· Psychologist, Clinical· Park Ridge, IL
Psychologist, Clinical in Park Ridge, Illinois, registered in NPPES in September 2006. The authorized official on file is Alan R. Graham, PH.D, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578665147 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2006 |
| Last updated in NPPES | Aug 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Nutritionist | 133N00000X | — | — |
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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