James Stephen Graves, PHD, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18196 Issued in CA

Practice address

572 E Green St
Suite 304
Pasadena, CA 91101-2085

Phone

(626) 844-0212

Fax

(626) 844-7101

NPI assigned

Feb 21, 2008

Sex

Male

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

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1295904563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 E GREEN ST",
            "address_2": "SUITE 304",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012045",
            "telephone_number": "626-844-0212",
            "fax_number": "626-844-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 E GREEN ST",
            "address_2": "SUITE 304",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012085",
            "telephone_number": "626-844-0212",
            "fax_number": "626-844-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Emmanuel Grant Jr., PSYD
• Piper Spurgeon Grant
• Gil J Grattan, PSY.D.
• Lance Eugene Gravely, MD
• Megan Elizabeth Gravenstein
• Marcus Graves
• Catherine Lynn Gray, PSY.D.
• Megan A Gray, PSY.D.
• Sharon Kay Gray, CCC-SLP
• Rachel Grayczyk

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.