George Wayne Graham, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21232 Issued in TX

Practice address

2300 Highway 365
Suite 110
Nederland, TX 77627-6256

Phone

(409) 729-0400

Fax

(866) 573-8008

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Vision Consulting, Inc.

  • Psychologist
  • Jasper, TX
  • NPI 1386692119
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1407808082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "SUITE 110",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-729-0400",
            "fax_number": "866-573-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "SUITE 110",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-729-0400",
            "fax_number": "866-573-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GEORGE",
        "middle_name": "WAYNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "21232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142037401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerardo a Chica, M.D.,P.a.
• Golden Triangle Cardiothoracic and Vascular Surgery
• Gerzain Whitney Gomez, D.D.S.
• Chase Donavon Gordon, DDS
• Odis Wayne Gossett, M.D.
• Kristen Freeman Gregory, LCSW
• Andrea Hacker
• Mohammad Khalid Hamza, PH.D., P.A.
• Kenneth James Hancock, PT
• Makenzie Lauren Harris, MS, CCC-SLP

• Psychologist in Nederland, TX
• Providers in Nederland, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.