Organization Active NPI

Jonathan M. Gransee PSYD and Associates PC

  • Clinical Psychologist
  • Lancaster, PA
National Provider Identifier
1124391560
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-015106 Issued in PA
Legal business name
JONATHAN M. GRANSEE PSYD AND ASSOCIATES PC
Practice address
313 W Liberty St
Suite 113
Lancaster, PA 17603-2798
Phone
(717) 509-5151
Fax
(717) 509-5151
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Jonathan M. Gransee, PYSDNPI 1033287891
Title
Owner
Phone
(717) 509-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS-015106 PA Primary

Addresses

Primary practice location

313 W Liberty St
Suite 113
Lancaster, PA 17603-2798

Mailing address

313 W Liberty St
Suite 113
Lancaster, PA 17603-2798
Phone (717) 509-5151

Other identifiers 3

IdentifierTypeStateIssuer
0018952270006MedicaidPA
101213689001MedicaidPA
1012136890001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Jonathan M Gransee PSYD and Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

313 W Liberty St
Ste 113
Lancaster, PA 17603
Phone (717) 413-3130

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1124391560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST",
            "address_2": "SUITE 113",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032798",
            "telephone_number": "717-509-5151",
            "fax_number": "717-509-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST",
            "address_2": "SUITE 113",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032798",
            "telephone_number": "717-509-5151",
            "fax_number": "717-509-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN M. GRANSEE PSYD AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "GRANSEE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-509-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PYSD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-015106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018952270006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101213689001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012136890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.