Active NPI
Jason Grainer, PH.D.
- Clinical Psychologist
- Springfield, VA
National Provider Identifier
1124387253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004573
- Practice address
- 8134 Old Keene Mill Rd
Suite 101
Springfield, VA 22152-1800 - Phone
- (703) 569-8731
- Fax
- (703) 569-7248
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004573 | VA | Primary |
Addresses
Primary practice location
8134 Old Keene Mill Rd
Suite 101
Springfield, VA 22152-1800
Mailing address
8134 Old Keene Mill Rd
Suite 101
Springfield, VA 22152-1800
Phone (703) 569-8731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1800 Michael Faraday Dr
Suite 201
Reston, VA 20190-5312
Phone (410) 760-9079
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Counseling Center, LLC | Clinical | Current | Accepting new patients |
| Oasis the Mental Health Center, LLC | Current | Accepting new patients |
Locations
30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790
1800 Michael Faraday Dr
Ste 201
Reston, VA 20190
Phone 41076090790
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1124387253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8134 OLD KEENE MILL RD",
"address_2": "SUITE 101",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521800",
"telephone_number": "703-569-8731",
"fax_number": "703-569-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8134 OLD KEENE MILL RD",
"address_2": "SUITE 101",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521800",
"telephone_number": "703-569-8731",
"fax_number": "703-569-7248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAINER",
"first_name": "JASON",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.