Grandview Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3306 Issued in MA

Legal business name

GRANDVIEW PSYCHOLOGICAL SERVICES, LLC

Practice address

1 W Foster St
Suite 10
Melrose, MA 02176-3810

Phone

(617) 306-9095

NPI assigned

Jan 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roger Davies, SC.D.NPI 1194785865

Title

President

Phone

(617) 306-9095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Roger R Davies, SCD.

  • Clinical Psychologist
  • Melrose, MA
  • NPI 1194785865
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1215268610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST",
            "address_2": "SUITE 10",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763810",
            "telephone_number": "617-306-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST",
            "address_2": "SUITE 10",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763810",
            "telephone_number": "617-306-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-306-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SC.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Phyllis Giove, PT
• John G Giragos Jr., MD
• Stephanie L Girard, DPT
• Scott Roberts Goldberg, DDS
• Edilia F. Gomes, PMHNP-BC, MSW
• Alicia Green, LMT
• Klaus Grim
• Mikala A Grimaldi
• John Grote, PHARMD
• Samantha Rose Hale, MT-BC

• Clinical Psychologist in Melrose, MA
• Providers in Melrose, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.