Individual provider Active NPI

Thomas H Grant, PH.D.

  • Clinical Psychologist
  • New Paltz, NY
National Provider Identifier
1437236247
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011779 Issued in NY
Practice address
257 Main St
New Paltz, NY 12561-1610
Phone
(845) 256-9528
Fax
(845) 256-9528
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 011779 NY Primary

Addresses

Primary practice location

257 Main St
New Paltz, NY 12561-1610

Mailing address

257 Main St
New Paltz, NY 12561-1610
Phone (845) 256-9528

Other identifiers 1

IdentifierTypeStateIssuer
01891625MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000364 NY Practitioner - Clinical Psychologist 5496920274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

257 Main St
New Paltz, NY 12561-1610
Phone (845) 256-9528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
011779NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doree Lipson, LCSW PC CurrentSince Oct 1, 2015 Accepting new patients
T Grant PHD Clinical CurrentSince Jan 1, 2006 Accepting new patients

Locations

257 Main St
New Paltz, NY 12561
Phone (845) 256-9528

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1437236247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611610",
            "telephone_number": "845-256-9528",
            "fax_number": "845-256-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611610",
            "telephone_number": "845-256-9528",
            "fax_number": "845-256-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01891625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

Verify at the official NPI Registry.