W. Christopher Grant, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY25646 Issued in CA

Practice address

28310 Roadside Dr Ste 138
Agoura Hills, CA 91301-4960

Phone

(818) 395-7767

NPI assigned

Jun 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1235577073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10937 FRUITLAND DR APT 18",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043525",
            "telephone_number": "818-395-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 138",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014960",
            "telephone_number": "818-395-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "W.",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25646",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY25646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affider E Gonzalez de Bermudez
• Tracy Fabrick Gottbetter, M.A.
• Graceful Aging Hospice Care, Inc.
• Kristin Grannis, MFTI 73996
• Tracy T Grant, PPS
• Richard Gregory, MPSA, PA-C
• Becky Lynn Grenfell, LPCC
• Cheryl Robin Grenville, M.S.
• Lusine Grigorian, PHARMD
• Violeta Guia

• Counseling Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.