Robert James Graham, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0151592 Issued in NY

Practice address

36 Dorchester Rd
Buffalo, NY 14222-1125

Phone

(716) 882-1190

Fax

(716) 882-1192

NPI assigned

Oct 3, 2006

Sex

Male

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

Enrolled in NY

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Psychology Services of Wny, PC

  • Clinical Psychologist
  • Williamsville, NY
  • NPI 1174704878
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1184719403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DORCHESTER RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221125",
            "telephone_number": "716-882-1190",
            "fax_number": "716-882-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 DORCHESTER RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221125",
            "telephone_number": "716-882-1190",
            "fax_number": "716-882-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0151592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTH",
            "identifier": "00027499101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Graham
• Donna Marie Graham, P.T.
• Joel M Graham, CASAC-T CRPA
• Meghan Kay Graham, FNP
• Paul Graham
• Sarah Elizabeth Graham
• Susan Graham, MD
• Abigail J. Grainge, FNP; PMHNP
• Joann Gramlich
• Anne Marie Gramza, NP

• Psychologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.