LAVETTE GOODMAN GRAHAM PMHNP-BC
NPI 1740915677
Nurse Practitioner - Psychiatric/Mental Health in Oak Park, IL

Q: What is Lavette Goodman Graham's NPI number?

The NPI number for Lavette Goodman Graham is 1740915677. It was assigned to this individual provider in the NPPES registry on July 24, 2022.

Q: What is Lavette Goodman Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 24, 2022

1133 SOUTH BLVD APT 901, OAK PARK, IL 60302(201) 616-8181 Get Directions Write a Review

NPPES record last updated: November 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2025, Jul 24, 2022 (2 updates tracked since 2022).

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About Lavette Goodman Graham Pmhnp-bc NPPES

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

LAVETTE GOODMAN GRAHAM PMHNP-BC (NPI 1740915677) is an individual psychiatric/mental health provider in Oak Park, Illinois, licensed in Illinois (309.023545) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1740915677

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLAVETTE GOODMAN GRAHAMCredential: PMHNP-BC

Location Address1133 SOUTH BLVD APT 901Oak Park, IL 60302-4279

Mailing Address1133 South Blvd Apt 901Oak Park, IL 60302-4279 · (201) 616-8181

Phone(201) 616-8181

Sole ProprietorYes

Enumeration DateJuly 24, 2022

Last NPPES UpdateNovember 29, 20252 updates tracked since enumeration

NPPES CertifiedNovember 29, 2025

✔ NPI 1740915677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in IL · 309.023545✔ Licensed in IL · 209.032017

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041.472420 (IL)

1133 SOUTH BLVD APT 901, Oak Park, IL 60302

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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 Lavette Goodman Graham's NPI number?

The NPI number for Lavette Goodman Graham is 1740915677. It was assigned to this individual provider in the NPPES registry on July 24, 2022.

Where is Lavette Goodman Graham located?

Lavette Goodman Graham practices at 1133 South Blvd Apt 901, Oak Park, IL 60302. The listed phone number is (201) 616-8181.

What is Lavette Goodman Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lavette Goodman Graham was last updated on November 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.