DR. SUSAN O'GRADY (PSY. D.) – Clinical Psychologist, NPI 1366814758

DR. SUSAN O'GRADY (PSY. D.) is a healthcare provider. based in Park ridge, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. They hold a License No. 178009626 (IL). The NPI Number for DR. SUSAN O'GRADY (PSY. D.) is 1366814758

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN O'GRADY (PSY. D.)
NPI
1366814758
Phone
(847) 823-4444
Address
32 MAIN ST
Enumeration Date
23 October 2015
Last Update Date
18 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478234444
Graduation Year
2015 (11 years ago)
PAC ID
5799055075
Group Practice PAC ID
3678590429
Professional Enrollment ID
I20170719001499
Address ID
IL600684060PA32XXXSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. SUSAN O'GRADY (PSY. D.)

  • 32 MAIN ST

    PARK RIDGE, IL 600684060

    Phone: (847) 823-4444

    Fax: (847) 823-4456

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170719001499IClinical PsychologistILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678590429View full group profile
NameSpecialtyState
-IL
Clinical PsychologistIL
Clinical PsychologistIL

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Frequently asked questions

What number should I use to identify DR. SUSAN O'GRADY (PSY. D.) for billing?
Administrative and clinical systems typically use NPI 1366814758 for DR. SUSAN O'GRADY (PSY. D.).
Quick check: is DR. SUSAN O'GRADY (PSY. D.) active?
Public NPPES data shows DR. SUSAN O'GRADY (PSY. D.) with an active NPI status right now.
What services align with DR. SUSAN O'GRADY (PSY. D.)'s listing?
DR. SUSAN O'GRADY (PSY. D.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. SUSAN O'GRADY (PSY. D.) tied to Park Ridge, Illinois?
If you are local to Park Ridge, Illinois, DR. SUSAN O'GRADY (PSY. D.) may be relevant to your search.
Can I export DR. SUSAN O'GRADY (PSY. D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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