Jeffrey M Gran Psy D PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 5683 Issued in FL

Legal business name

JEFFREY M GRAN PSY D PA

Practice address

4302 W Broward Blvd
Suite 800
Plantation, FL 33317-3780

Phone

(954) 893-7829

Fax

(954) 893-7829

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M. Gran, PSY.D.

Title

Neuropsychologist

Phone

(954) 893-7829

Specialties & licenses 1

Addresses

Practitioners 1

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

• Scott Reisman, PHD

  • Clinical Neuropsychologist
  • North Miami, FL
  • NPI 1114143146
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1225137300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SW 70TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231019",
            "telephone_number": "954-893-7829",
            "fax_number": "954-893-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W BROWARD BLVD",
            "address_2": "SUITE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173780",
            "telephone_number": "954-893-7829",
            "fax_number": "954-893-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M GRAN PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GRAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "954-893-7829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Robinson Jefferson, DDS
• Jeffrey D Greiff,M.D.
• Jeffrey E Sager OD PA (Sager Eye Care Center)
• Jeffrey Jabick, LMHC, LLC
• Jeffrey L. Marks, MD, PA
• Jeffrey M. Pollock, MD PA
• Jeffrey T Berard DC PA (d/b/a A Better Life Chiropractic Center)
• Jencarl's Angels Alf
• Anita M. Jennings, LMFT
• Michael Thomas Jerger, DO

• Clinical Neuropsychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.