DR. PATRICIA ANNA GRAHAM (PSYD., HSPP) – Clinical Psychologist, NPI 1093716466
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
Provider Addresses for DR. PATRICIA ANNA GRAHAM (PSYD., HSPP)
3831 Kirk St
Skokie, IL 600763419
Phone: (773) 501-3557
Type: Location
2650, West Albion Avenue, West Ridge, Rogers Park, Lincolnwood, Rogers Park Township, Cook County, Illinois, 60645, United States
CHICAGO, IL 606455114
Phone: (773) 501-3557
Type: Mailing
1112 US HIGHWAY 41 STE 108
SCHERERVILLE, IN 463751361
Phone: (773) 501-3557
Type: Location
3831 KIRK ST
SKOKIE, IL 600763419
Phone: (773) 501-3557
Fax: (773) 501-3557
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060726000426 | I | Clinical Psychologist | IN | TBD |
| I20111028000025 | I | Clinical Psychologist | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60076)
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