DR. GWEN IRENE GRANT (NPI# 1013397678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013397678 |
| Entity Type | Individual |
| Full Name | DR. GWEN IRENE GRANT |
| Other Name | GWEN IRENE WILLIAMSON |
| Credential | PSY.D. |
| Practice Address |
14953 S Van Dyke Rd Plainfield IL 60544-5804 |
| Mailing Address |
17120 W 145th St Lockport IL 60441-2297 |
| Practice Telephone | 7736206512 |
| Mailing Telephone | 7736206512 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071007699 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609183409 | Gwen Grant | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2010-09-01 |
| Street Address |
14953 S VAN DYKE RD |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60544-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841224748 | Robert A Brucker Jr. | Psychologist | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2006-07-10 |
| 1386059996 | Bhes Medical Group, LLC | Counselor | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2014-06-23 |
| 1285062364 | Luke Fairless | Counselor | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2013-10-28 |
| 1598009425 | Pamela Murphy | Psychologist | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2012-11-15 |
| 1437419371 | Kathleen M Costello | Psychologist | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2012-05-25 |
| 1285812834 | Behavioral Health and Education Specialists Inc | Counselor | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2008-02-06 |
| 1316155534 | Muhammad Nouman Azhar | Psychiatry & Neurology | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2007-05-20 |
| 1013928829 | Edward D Smith | Psychologist | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1114463502 | Karen Fagan | Nurse Practitioner | 500 N Weber Road, Romeoville, IL 60544 | 2017-01-10 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| Find all providers in zip 60544 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487908505 | Robert Wysocki | Psychologist | 1911 Springside Dr, Plainfield, IL 60586-4257 | 2012-10-29 |
| 1730459793 | Bryn Dungan | Psychologist | 2680 E Main Street, Suite 304, Plainfield, IN 46168-2831 | 2012-01-09 |
| 1679880306 | Sis Kiel | Psychologist | 11416 Glenbrook Cir, Plainfield, IL 60585-2060 | 2010-09-01 |
| 1841224748 | Robert A Brucker Jr. | Psychologist | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2006-07-10 |
| 1366059248 | Johnson Neuropsychology | Psychologist | 2680 E Main St Ste 114, Plainfield, IN 46168-2827 | 2020-09-25 |
| 1750838629 | Lauren Harris | Psychologist | 24012 W Renwick Rd, Unit 204a, Plainfield, IL 60544-8731 | 2016-09-07 |
| 1194115113 | Infocus Behavioral Health, Inc. | Psychologist | 1911 Springside Dr, Plainfield, IL 60586-4257 | 2015-01-29 |
| 1881000826 | Russell Scott Mccormack | Psychologist | 24020 W Riverwalk Ct, #100, Plainfield, IL 60544-7103 | 2014-07-10 |
| 1598009425 | Pamela Murphy | Psychologist | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2012-11-15 |
| 1437419371 | Kathleen M Costello | Psychologist | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2012-05-25 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60544 |
Please comment or provide details below to improve the information on DR. GWEN IRENE GRANT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.