DR. ANDREA MICHELLE GRAVES (PSY.D.) – Psychologist, NPI 1609150960

DR. ANDREA MICHELLE GRAVES (PSY.D.) is a healthcare provider. based in Burr ridge, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. The NPI Number for DR. ANDREA MICHELLE GRAVES (PSY.D.) is 1609150960

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA MICHELLE GRAVES (PSY.D.)
NPI
1609150960
Phone
(630) 337-8006
Address
200 S FRONTAGE RD
Enumeration Date
5 October 2011
Last Update Date
26 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304235998
Graduation Year
2011 (15 years ago)
PAC ID
4284959164
Group Practice PAC ID
3274954722
Professional Enrollment ID
I20200609001310
Address ID
IL605276953BU200XXRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:14State licenses:0Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for DR. ANDREA MICHELLE GRAVES (PSY.D.)

  • 200 S FRONTAGE RD

    STE 320

    BURR RIDGE, IL 605276953

    Phone: (630) 337-8006

    Fax: (630) 581-5984

    Type: Mailing

  • 1 QUALITY DR

    DEPARTMENT OF PSYCHIATRY

    VACAVILLE, CA 956889494

    Phone: (707) 624-2830

    Type: Location

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: 2020-06-09

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
I20200609001310IClinical 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 60527)

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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: 3274954722View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL
Registered Dietitian Or Nutrition ProfessionalNC

Reviews

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Frequently asked questions

Does DR. ANDREA MICHELLE GRAVES (PSY.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ANDREA MICHELLE GRAVES (PSY.D.) uses 1609150960.
Does the file indicate DR. ANDREA MICHELLE GRAVES (PSY.D.) is practicing under active NPI?
Directory data currently reports DR. ANDREA MICHELLE GRAVES (PSY.D.) as active.
What is DR. ANDREA MICHELLE GRAVES (PSY.D.)'s specialty?
The listing groups DR. ANDREA MICHELLE GRAVES (PSY.D.) with Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANDREA MICHELLE GRAVES (PSY.D.)?
DR. ANDREA MICHELLE GRAVES (PSY.D.)'s geographic hint is Burr Ridge, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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