Active NPI
Grant Richard D'Augustine, ED.S.
- School Psychologist
- Ellicott City, MD
National Provider Identifier
1306342944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- CER-91688-Y1F4K7
- Practice address
- 10910 Clarksville Pike
Ellicott City, MD 21042-6106 - Phone
- (410) 313-6773
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CER-91688-Y1F4K7 | MD | Primary |
Addresses
Primary practice location
10910 Clarksville Pike
Ellicott City, MD 21042-6106
Mailing address
10910 Clarksville Pike
Ellicott City, MD 21042-6106
Phone (571) 252-1016
Other practice location 1
101 Shady Nook Ct
Catonsville, MD 21228-3543
Phone (513) 403-2655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0813000476 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CER-91688-Y1F4K7 | MD | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun County Public Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Broadlands, VA
- NPI 1902151863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1306342944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10910 CLARKSVILLE PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426106",
"telephone_number": "571-252-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10910 CLARKSVILLE PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426106",
"telephone_number": "410-313-6773"
}
],
"practiceLocations": [
{
"address_1": "101 Shady Nook Ct",
"address_purpose": "LOCATION",
"city": "Catonsville",
"state": "MD",
"postal_code": "212283543",
"country_code": "US",
"telephone_number": "513-403-2655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'AUGUSTINE",
"first_name": "GRANT",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "CER-91688-Y1F4K7",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0813000476",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.