Healthcare Provider Details

I. General information

NPI: 1326955261
Provider Name (Legal Business Name): GROHMANN PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1482 EDGEWOOD LN
WINNETKA IL
60093-1416
US

IV. Provider business mailing address

1482 EDGEWOOD LN
WINNETKA IL
60093-1416
US

V. Phone/Fax

Practice location:
  • Phone: 202-445-5494
  • Fax: 202-445-5494
Mailing address:
  • Phone: 202-445-5494
  • Fax: 202-445-5494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KYLE GROHMANN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 202-445-5494