ROGER C GRONAU (NPI# 1992704225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992704225 |
| Entity Type | Individual |
| Full Name | ROGER C GRONAU |
| Credential | PHD |
| Practice Address |
527 W South St Woodstock IL 60098-3756 |
| Mailing Address |
970 Mchenry Ave Crystal Lake IL 60014-7449 |
| Practice Telephone | 8153389199 |
| Practice Fax Number | 8153389205 |
| Mailing Telephone | 8154557100 |
| Mailing Fax Number | 8154553951 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1957-057 | WI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 05619771 | 01 |
| Street Address |
527 W SOUTH ST |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750753265 | Taylor Moore | Social Worker | 527 W South St, Woodstock, IL 60098-3756 | 2015-10-22 |
| 1487022042 | Mandy Cwick | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2015-09-11 |
| 1902220312 | Nicole Davidson | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2014-02-06 |
| 1710301221 | David Washington | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2014-02-05 |
| 1750704417 | Patricia Mason | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2014-01-30 |
| 1033532809 | Diana French | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2014-01-29 |
| 1427471341 | Amanda Hinthorne | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2014-01-28 |
| 1669895777 | John Druszczak | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2014-01-24 |
| 1851714083 | Adrienne J Liebich | Counselor | 527 W South St, Woodstock, IL 60098-3756 | 2014-01-23 |
| 1053734475 | Megan Kathleen Murphy | Social Worker | 527 W South St, Woodstock, IL 60098-3756 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1417492810 | New Life Treatment Center | Psychologist | 130 Dakota St, Woodstock, MN 56186 | 2016-12-21 |
| 1598173031 | Elizabeth Nielson | Psychologist | 203 Reynolds Rd, Woodstock, NY 12498-1165 | 2014-07-29 |
| 1083942841 | Robert Wayman Worsham | Psychologist | 34 Applewood Dr, Woodstock, CT 06281-2304 | 2009-12-05 |
| 1245361237 | Patricia E. Gore | Psychologist | 7450 Highway 92 Ste 120, Woodstock, GA 30189-5235 | 2007-03-08 |
| 1295860401 | Judy Johnson Grados | Psychologist | 10709 Birmingham Way, Woodstock, MD 21163-1403 | 2007-02-21 |
| 1457462681 | Gail Messinger Albert | Psychologist | 84 Witchtree Rd, Woodstock, NY 12498-1940 | 2006-08-31 |
| 1972502110 | Robert L Meyer | Psychologist | 666 Russel Ct, Suite 105, Woodstock, IL 60098-2670 | 2005-07-19 |
| 1124225271 | Kaplan Counseling Inc. | Psychologist | 8910 Main St, Woodstock, GA 30188-4916 | 2007-07-02 |
| 1013129956 | Jacqueline Luann O'connell | Psychologist | 8910 Main St, Woodstock, GA 30188-4916 | 2007-05-04 |
| 1679785299 | Cherokee Counseling and Psychological Asscociates | Psychologist | 8910 Main St, Woodstock, GA 30188-4916 | 2007-05-04 |
| Find all providers in WOODSTOCK | ||||
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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.