DR. ROBERT E INGRAHAM (NPI# 1043230220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043230220 |
| Entity Type | Individual |
| Full Name | DR. ROBERT E INGRAHAM |
| Credential | PSY.D. |
| Practice Address |
412 N Lake St # 202 Aurora IL 60506-4106 |
| Practice Telephone | 6308194421 |
| Practice Fax Number | 6308972760 |
| Mailing Telephone | 6308194421 |
| Mailing Fax Number | 6308972760 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-004122 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856269 | Robert Quinn Ingraham | Neurological Surgery | 100 Baptist Memorial Cir Ste 202, Oxford, MS 38655-4476 | 2006-01-19 |
| Street Address |
412 N LAKE ST # 202 |
| City | AURORA |
| State | IL |
| Zip Code | 60506-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616352 | Susan Mary Kinsman | Counselor | 412 N Lake St, Aurora, IL 60506-4106 | 2018-04-13 |
| 1346768413 | Tiffany E Green | Counselor | 412 N Lake St, Aurora, IL 60506-4106 | 2017-09-08 |
| 1417333287 | Kerry Lynn O'donnell | Counselor | 412 N Lake St, Suite 204, Aurora, IL 60506-4106 | 2015-08-04 |
| 1366731044 | Inner Harmony Acupuncture | Clinic/Center | 412 N Lake St, Aurora, IL 60506-4106 | 2011-04-01 |
| 1669778742 | Mavis A. Bates | Acupuncturist | 412 N Lake St, Aurora, IL 60506-4106 | 2011-02-07 |
| 1619163268 | Gateway Psychological Services, Ltd | Psychologist | 412 N Lake St, Suite 204, Aurora, IL 60506-4106 | 2007-09-18 |
| 1154488294 | Monica Sisco | Counselor | 412 N Lake St, Aurora, IL 60506-4106 | 2007-01-01 |
| 1326114562 | Charlotte Ann Dillon | Psychologist | 412 N Lake St, Suite 204 Gateway Professional Services, Aurora, IL 60506-4106 | 2006-11-28 |
| 1548357221 | Mary Pat Nagel | Social Worker | 412 N Lake St, Aurora, IL 60506-4106 | 2006-10-06 |
| 1841205259 | Barbara G Buzzard | Social Worker | 412 N Lake St, Aurora, IL 60506-4106 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980704 | Diana L. Slaviero, Ph.d., P.C. | Psychologist | 75 Executive Dr Ste 429, Aurora, IL 60504-8112 | 2020-07-24 |
| 1164066528 | Cynthia Guadalupe Penne | Psychologist | 2794 Rosehall Ln, Aurora, IL 60503-5682 | 2019-10-29 |
| 1669015913 | Briana Lucia Robustelli | Psychologist | 1700 Wheeling St # 554-116w, Aurora, CO 80045-7211 | 2019-10-18 |
| 1750899910 | Michael W Kirkwood | Psychologist | Dept of Rehab, B285; Children's Hospital Colorado, 13123 E. 16th Ave, Aurora, CO 80045 | 2018-01-22 |
| 1043731409 | Horizon Psychology Services, LLC | Psychologist | 2261 Reflections Dr, Aurora, IL 60502-7310 | 2017-07-06 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1639597446 | Todd Huenecke | Psychologist | 2135 Colonial St, Aurora, IL 60503-4611 | 2014-03-31 |
| 1932538717 | Erica Stephens | Psychologist | 3131 S Vaughn Way Ste 110, Aurora, CO 80014 | 2013-11-02 |
| 1588942585 | Charles Harrison | Psychologist | 13123 E 16th Ave # B505, Aurora, CO 80045-7106 | 2011-07-26 |
| 1619138070 | Irene Gutierrez Ellis | Psychologist | 2101 S Blackhawk St., Ste 240, Rm 4, Aurora, CO 80014-1475 | 2008-06-18 |
| Find all providers in AURORA | ||||
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| 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.