Judy Johnson Grados, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3193 Issued in MD

Practice address

10709 Birmingham Way
Woodstock, MD 21163-1403

Phone

(410) 461-8015

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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 and National Provider Directory roles.

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  • NPI 1316090673

  Psychologist

  NPD (past)
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  • NPI 1306177316
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295860401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 SIENA WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631241",
            "telephone_number": "410-465-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 BIRMINGHAM WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631403",
            "telephone_number": "410-461-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADOS",
        "first_name": "JUDY",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Gregory Jolissaint, M.D.

• Psychologist in Woodstock, MD
• Providers in Woodstock, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.