Montserrat Mitchell Graves, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003372 Issued in GA

Practice address

319 N Stevens St
Thomasville, GA 31792-5464

Phone

(229) 221-3442

Fax

(855) 560-7664

NPI assigned

Aug 4, 2010

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

Other identifiers 1

Other names 1

• Montserrat Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Graves Psychological Services

  • Clinical Psychologist
  • Thomasville, GA
  • NPI 1083209712
  NPD Authorized official
• Lori Stubbs LLC

  • Clinical Social Worker
  • Valdosta, GA
  • NPI 1588411052
  NPD

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1417261231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317990231",
            "telephone_number": "229-221-3442",
            "fax_number": "855-560-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N STEVENS ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925464",
            "telephone_number": "229-221-3442",
            "fax_number": "855-560-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317926640",
            "country_code": "US",
            "telephone_number": "229-226-0741",
            "fax_number": "229-227-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MONTSERRAT",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110133C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTSERRAT",
            "last_name": "MITCHELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Golden
• Jennifer Gordon, PTA
• Endia Noel Gosier, FNP
• Jose M Grave de Peralta, MD
• Graves Psychological Services
• Timothy G Grayson, M.D.
• Brooklyn Walsh Green, PA-C
• Jennifer Green, LMSW
• Maggie Braxton Green, PHARMD
• Melanie Stodard Green, OTR L

• Clinical Psychologist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.