Dr. Robert E Ingraham , PsyD
Psychologist - Clinical • Aurora, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Ingraham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Ingraham, PsyD was a registered Psychologist - Clinical practicing in Aurora, IL. Throughout an active medical career spanning 15 years, Dr. Ingraham provided care at the practice location at 412 N LAKE ST until profile deactivation on 2021-06-10.
Practice Location & Contact Primary Location
412 N Lake St
# 202
Aurora, IL 605064106
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Clinical in Aurora, IL
Practicing in Aurora, IL (4140 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TC0700X
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Licensed Clinical Professional Counselor
Counselor - Mental Health
Licensed Clinical Professional Counselor
Counselor - Mental Health
Licensed Clinical Social Worker
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Counselor - Professional
Counselor - Professional
Licensed Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 10, 2021
NPI status registered as active in NPPES database
Registered at 412 N LAKE ST, # 202, AURORA, IL 605064106 (Tel: 6308194421)
Registered at 412 N LAKE ST, # 202, AURORA, IL 605064106 (Tel: 6308194421)
Recorded as ROBERT INGRAHAM, PSY.D.
Psychologist (License #071-004122 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
412 N Lake St, # 202
Aurora, IL 605064106
Phone: 6308194421
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