Darlene M Graeser, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14748 Issued in CA

Practice address

17547 Ventura Blvd Ste 307
Encino, CA 91316-3856

Phone

(818) 994-7020

NPI assigned

Apr 6, 2011

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1083903470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17547 VENTURA BLVD STE 307",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163856",
            "telephone_number": "818-994-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17547 VENTURA BLVD STE 307",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163856",
            "telephone_number": "818-994-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAESER",
        "first_name": "DARLENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Goss, D.P.M.
• Barrett Delphine Gottlieb, PMHNP-BC
• Mahnaz Deborah Gozini, DDS
• Graceful Helping Home Health Care
• Graceful Nursing Home Health Care Inc
• George Burket Graf, L.AC.
• Vanessa Graf, PSYD, LMFT, PC
• Graham a. Purcell, M.D., Inc.
• Vicki Graham-Costain, PH.D.
• Carol Jo Graiwer, M.S.

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.