Active NPI
Michael Eugene Graves, PH.D., PSYCHOLOGIST
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1376773572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34125
- Practice address
- 1500 W 38TH St Ste 47
Austin, TX 78731-6319 - Phone
- (512) 986-4837
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34125 | TX | Primary |
| School Psychologist | 103TS0200X | 33864 | TX |
Addresses
Primary practice location
1500 W 38TH St Ste 47
Austin, TX 78731-6319
Mailing address
3304 Napa Valley BND
Leander, TX 78641-2055
Phone (512) 986-4837
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33864 | TX | MD | School Psychologist |
| 34125 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Graves PHD PLLC | Clinical | 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.
-
- Clinical Psychologist
- Austin, TX
- NPI 1558681767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1376773572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 NAPA VALLEY BND",
"city": "LEANDER",
"state": "TX",
"postal_code": "786412055",
"telephone_number": "512-986-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W 38TH ST STE 47",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316319",
"telephone_number": "512-986-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "PH.D., PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "34125",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "33864",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.