Active NPI
Aenne Grannis
- School Psychologist
- Saugerties, NY
National Provider Identifier
1497996136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1799176
- Practice address
- 268 W Saugerties Rd
Saugerties, NY 12477-3142 - Phone
- (845) 247-8777
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1799176 | NY | Primary |
Addresses
Primary practice location
268 W Saugerties Rd
Saugerties, NY 12477-3142
Mailing address
PO Box 40
Stuyvesant Falls, NY 12174-0040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1799176 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1497996136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "STUYVESANT FALLS",
"state": "NY",
"postal_code": "121740040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 W SAUGERTIES RD",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124773142",
"telephone_number": "845-247-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANNIS",
"first_name": "AENNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1799176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.