Individual provider Active NPI

Joseph John Graca, PH.D.

  • Clinical Psychologist
  • Bisbee, AZ
National Provider Identifier
1235149295
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4394 Issued in AZ
Practice address
7 Bisbee Rd
Bisbee, AZ 85603-1140
Phone
(520) 432-2042
Fax
(520) 432-2098
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4394 AZ Primary

Addresses

Primary practice location

7 Bisbee Rd
Bisbee, AZ 85603-1140

Mailing address

PO Box 1667
Bisbee, AZ 85603-2667
Phone (320) 282-8857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20151208001547 AZ Practitioner - Clinical Psychologist 1254646565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bisbee Hospital AssociationGroup PAC ID 5092626168, 69 clinicians

Practice addresses (Care Compare)

7 Bisbee Rd
Bisbee, AZ 85603-1140
Phone (520) 432-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4394AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bisbee Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Bisbee Hospital Association CurrentSince Jul 1, 2025 Accepting new patients

Locations

7 Bisbee Rd
Bisbee, AZ 85603
Phone (520) 432-2042

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1235149295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1667",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856032667",
            "telephone_number": "320-282-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BISBEE RD",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031140",
            "telephone_number": "520-432-2042",
            "fax_number": "520-432-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACA",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bisbee, AZ

Sources for this page

Verify at the official NPI Registry.