Nancy Aeren Grau, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

812 Issued in NM

Practice address

404 San Mateo Blvd NE
Albuquerque, NM 87108-5547

Phone

(505) 385-0225

Fax

(505) 255-3704

NPI assigned

Jul 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inside-Out Psychological Services

  • Counseling Psychologist
  • Albuquerque, NM
  • NPI 1235364969
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033124722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SOLANO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083383",
            "telephone_number": "505-385-0225",
            "fax_number": "505-255-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085547",
            "telephone_number": "505-385-0225",
            "fax_number": "505-255-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAU",
        "first_name": "NANCY",
        "middle_name": "AEREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10070541",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy L. Grassbaugh, MA
• Bryan Grassel, PHARMD
• Courtney Grassham
• Johanna Marie Grassham, RN, CDE, BC-ADM, CNP
• Bonnie Graston
• Stephanie Grauke
• Bradley R Graustein, MD
• Jaren P Gravagne, CNP, RNFA
• Fallon Laws Gravely, RN, CNP
• Karina Elizabeth Graves

• Counseling Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Counseling Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.