Jonathan T Grapengieser, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3170-57 Issued in WI

Practice address

1126 S 70TH St
Suite S507
West Allis, WI 53214-3151

Phone

(414) 475-2788

Fax

(414) 476-8695

NPI assigned

Sep 19, 2012

Last updated

Sep 10, 2014By the provider in NPPES

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 names 1

• Dr. Jonathan T Grapengieser Professional name

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Services Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1619024262
  Medicare reassignment NPD Authorized official
• Christian Counseling Associates LLC

  • Psychologist
  • Brookfield, WI
  • NPI 1164736088
  NPD (past)
• Glassman & Stanik Consulting Psychologists, LLC

  • Clinical Neuropsychologist
  • Milwaukee, WI
  • NPI 1720105877
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1467703223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST",
            "address_2": "SUITE S507",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143151",
            "telephone_number": "414-475-2788",
            "fax_number": "414-476-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST",
            "address_2": "SUITE S507",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143151",
            "telephone_number": "414-475-2788",
            "fax_number": "414-476-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAPENGIESER",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3170-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "GRAPENGIESER",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Grace Hospice of Wisconsin, LLC (Crossbridge Hospice)
• Grace Wellness, LLC
• Amy L Graf, M.S.
• Sandra Graham, APRN
• Grams Family Dental LLC
• Mary Christine Grassl, REGISTERED NURSE
• Carrie Gray, PHARMD
• Great Lakes Orthotics and Medical Supply, Inc
• Great Lakes Pathologists SC
• Greater Milwaukee Pain Clinic LTD

• Clinical Psychologist in West Allis, WI
• Providers in West Allis, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.