Gracie Ann Dillard

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

3844 35TH St NE
Canton, OH 44705-4310

Phone

(330) 209-2569

NPI assigned

Jan 4, 2021

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

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.

• A Touch of Grace Childcare LLC

  • Home Health Agency
  • Canton, OH
  • NPI 1770178576
  NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1356939565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 35TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447054310",
            "telephone_number": "330-209-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 35TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447054310",
            "telephone_number": "330-209-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "GRACIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dietrich & Associates Oral and Maxillofacial Surgery, Inc.
• Thomas J Dietrich, DDS, MD
• Different Abilities Transportation and Care
• Peter E Digiacomo, DO
• Ashley Michele Dilbeck
• Racquel I Dillard, CT
• Willie Dillard I
• Linda Dillon-Young
• Giavanna Nicole Diloreto, P.A.
• Kara Diloreto

• Intellectual & Developmental Disabilities Psychologist in Canton, OH
• Providers in Canton, OH by specialty
• Intellectual & Developmental Disabilities Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.