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DR. GREGORY CLEMENT CONCODORA PSYD
NPI 1053846881
Psychologist - Clinical in Chicago, IL

Active since April 30, 2017Opted out of Medicare · through Nov 15, 2027
5100 N RAVENSWOOD AVE, SUITE 238, CHICAGO, IL 60640(718) 483-4841 Get Directions Write a Review

NPPES record last updated: April 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gregory Clement Concodora Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY CLEMENT CONCODORA PSYD (NPI 1053846881) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009527) and active in the NPI registry since April 2017. He has opted out of Medicare through November 15, 2027.

NPPES Registry Identity

NPI1053846881
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GREGORY CLEMENT CONCODORACredential: PSYD
Location Address5100 N RAVENSWOOD AVE, SUITE 238Chicago, IL 60640-1710
Mailing Address5100 N Ravenswood Ave, Suite 238Chicago, IL 60640-1710 · (718) 483-4841
Phone(718) 483-4841
Sole ProprietorYes
Enumeration DateApril 30, 2017
✔ NPI 1053846881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071009527
Definition
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 071009527 (IL)
5100 N RAVENSWOOD AVE, Chicago, IL 60640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gregory Clement Concodora Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 15, 2021 through November 15, 2027.

Opt-Out Effective DateNovember 15, 2021
Opt-Out In Effect ThroughNovember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN OBRADOVICH, LCSW, LLC
Social Worker (Clinical)
5100 N RAVENSWOOD AVE, SUITE 231
CHICAGO, IL 60640
Cook County (630) 935-8107
ELENA KOLOMYTSEVA
Counselor (Mental Health)
5100 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 830-4199
MELISSA LARMON MSMFT
Marriage & Family Therapist
5100 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 830-4199
JENNIFER C LANGEL LCSW
Social Worker (Clinical)
5100 N RAVENSWOOD AVE, SUITE 245
CHICAGO, IL 60640
Cook County (847) 902-2475
MISS VERONICA MCALLISTER LPC
Psychologist (Counseling)
5100 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (872) 239-4107
KATIE RAE MCGOWAN PSYD
Psychologist (Clinical)
5100 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 417-6342
SHIRA GALSTON
Marriage & Family Therapist
5100 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (917) 855-4994
DR. JESUS EDUARDO RAMOS PHD
Psychologist (Clinical)
5100 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (872) 241-9337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Concodora's NPI number?

The NPI number for Gregory Concodora is 1053846881. It was assigned to this individual provider in the NPPES registry on April 30, 2017.

Where is Gregory Concodora located?

Gregory Concodora practices at 5100 N Ravenswood Ave Suite 238, Chicago, IL 60640. The listed phone number is (718) 483-4841.

What is Gregory Concodora's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gregory Concodora enrolled in Medicare?

No. Gregory Concodora has opted out of Medicare through November 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gregory Concodora was last updated on April 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.