Christopher James Graver, PHD, ABPP-CN

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY00003488 Issued in WA

Practice address

9040 Jackson Ave
Neuropsychology MCHJ-Clu-CP
Tacoma, WA 98431-0001

Phone

(253) 968-2700

Fax

(253) 968-5665

NPI assigned

Jul 27, 2006

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of Social

  dba Western State Hospital

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1144295080
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1235153792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "address_2": "NEUROPSYCHOLOGY MCHJ-CLU-CP",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2700",
            "fax_number": "253-968-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "address_2": "NEUROPSYCHOLOGY MCHJ-CLU-CP",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2700",
            "fax_number": "253-968-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD, ABPP-CN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY00003488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Alexander Grassbaugh, MD
• Justin S Grata, LCSW
• Grateful Hearts Care Home LLC
• Linda Kay Gravano, LMP
• Andrea Gravatt, MD
• Caitlyn Graves, MSW, LSWA-IC
• David R Graves, LMP
• Kenneth Murdock Graves, D.D.S.
• Lauren Graves
• Courtney Gravunder

• Clinical Neuropsychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.