MEDICARE: DR. PATRICIA ANNA GRAHAM PSYD., HSPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071007159	IL
2	103TC0700X	Clinical Psychologist	20042049A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	060132-000	OTHER	IN	MAGELLAN
3	000000363699	OTHER	IA	ANTHEM BLUE CROSS

General Provider Information

NPI Number	:	1093716466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANNA GRAHAM PSYD., HSPP

Provider Business Mailing Address
First Line	:	3831 KIRK ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-3419
Country	:	US
Telephone Number	:	773-501-3557
Fax Number	:	773-501-3557

Provider Business Practice Location Address
First Line	:	1112 US HIGHWAY 41 STE 108
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375-1361
Country	:	US
Telephone Number	:	773-501-3557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/30/2023

Similar Medicare Providers

1144548934 — GRAHAM PSYCHOLOGICAL CONSULTING, INC
Practice Location Address:

1112 US HIGHWAY 41 STE 108
SCHERERVILLE, IN
46375-1361

Practice Phone: 773-501-3557
Practice Fax:

1700172830 — KELLY P MUCHA LCSW
Practice Location Address:

1112 US HIGHWAY 41
SCHERERVILLE, IN
46375-1361

Practice Phone: 219-613-0332
Practice Fax:

1700216777 — LAKEVIEW HEALTH CARE SERVICES INC
Practice Location Address:

1112 US HIGHWAY 41 , SUITE 210
SCHERERVILLE, IN
46375-1361

Practice Phone: 219-218-4440
Practice Fax:

1932675832 — HEARING WORLD
Practice Location Address:

1112 INDIANAPOLIS BLVD STE 103
SCHERERVILLE, IN
46375-1361

Practice Phone: 219-351-0073
Practice Fax:

1235792698 — AEGEAN PERFORMANCE CONSULTING
Practice Location Address:

1112 INDIANAPOLIS BLVD STE 107
SCHERERVILLE, IN
46375-1361

Practice Phone: 219-810-2424
Practice Fax:

1033112990 — ADVANCED IMAGING CENTER LLC
Practice Location Address:

7860 BURR ST
SCHERERVILLE, IN
46375

Practice Phone: 219-864-2900
Practice Fax: 219-864-2910

Directions to “ DR. PATRICIA ANNA GRAHAM PSYD., HSPP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.