Marc Alexander Gramatges, PSYD, ABPP, CBIS

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

100 W Sixth St
Suite 305
Media, PA 19063-2428

Phone

(484) 445-4147

Fax

(484) 445-4149

NPI assigned

May 23, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MG Therapeutic Services LLC

  • Clinical Psychologist
  • Media, PA
  • NPI 1578971750

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official
• MG Therapeutic Services LLC

  • Clinical Psychologist
  • Media, PA
  • NPI 1649747866
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1306106471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SIXTH ST STE 305",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632428",
            "telephone_number": "484-445-4147",
            "fax_number": "484-445-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SIXTH ST",
            "address_2": "SUITE 305",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632428",
            "telephone_number": "484-445-4147",
            "fax_number": "484-445-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMATGES",
        "first_name": "MARC",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSYD, ABPP, CBIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goshen Homecare Services LLC
• Donald Jean Goudreau III, D.M.D.
• Bryan Gouge, MA
• Raymond Gould
• Jennifer Hurley Graber, LCSW
• Vanessa Grandinetti
• Granite Medical PC
• Robin Moss Greenberg, LCSW LMFT
• Grace Greene
• Gregory a Hillyard DMD PC

• Clinical Neuropsychologist in Media, PA
• Providers in Media, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.