Organization Active NPI

Jeffrey S. Grand, PSYD, PLLC

Doing business as Grand & Verdi, LLC

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1316334782
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JEFFREY S. GRAND, PSYD, PLLC
Doing business as
Grand & Verdi, LLC
Practice address
8400 Roosevelt Blvd Ste 206
Philadelphia, PA 19152-2081
Phone
(215) 333-7562
Fax
(215) 333-7563
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Grand, PSYDNPI 1619953361
Title
Partner
Phone
(215) 333-7562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8400 Roosevelt Blvd Ste 206
Philadelphia, PA 19152-2081

Mailing address

8400 Roosevelt Blvd Ste 206
Philadelphia, PA 19152-2081
Phone (215) 333-7562

Other names 1

  • Grand & Verdi, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Verdi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8400 Roosevelt Blvd
Ste 206
Philadelphia, PA 19152
Phone (215) 333-7560

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1316334782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 ROOSEVELT BLVD STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522081",
            "telephone_number": "215-333-7562",
            "fax_number": "215-333-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 ROOSEVELT BLVD STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522081",
            "telephone_number": "215-333-7562",
            "fax_number": "215-333-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. GRAND, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "215-333-7562",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand & Verdi, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.