Jeffrey M. Gran, Psy.D., P.a.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 5683 Issued in FL

Legal business name

JEFFREY M. GRAN, PSY.D., P.A.

Practice address

1050 NE 125TH St
North Miami, FL 33161-5805

Phone

(954) 558-2870

Fax

(954) 893-7829

NPI assigned

Nov 5, 2007

Last updated

Nov 13, 2007By the provider in NPPES

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.NPI 1679599310

Title

President

Phone

(954) 893-7829

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Miles Gran, PSY.D.

  • Clinical Neuropsychologist
  • Plantation, FL
  • NPI 1679599310
  Authorized official Same address or phone

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1285814566",
    "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": "1050 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615805",
            "telephone_number": "954-558-2870",
            "fax_number": "954-893-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. GRAN, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GRAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": []
}

• Emy Jean-Marie, M.D.
• Nataly Jean-Michel, APRN
• Daphnee Jean
• Jacques Jean
• Ineda Jeanlouis
• Jewish Community Services of South Florida, Inc.
• Jewish Community Services of South Florida, Inc.
• JJ Group Home
• JJ Group Home Inc
• Jonel Pierre-Lahens Joisil, MD

• Clinical Neuropsychologist in North Miami, FL
• Providers in North Miami, 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 13, 2007; 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.