Active NPI
Grace Tramm, PSYD
- Clinical Psychologist
- White Bear Lake, MN
National Provider Identifier
1508272865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5860
- Practice address
- 4756 Banning Ave Ste 217
White Bear Lake, MN 55110-3206 - Phone
- (651) 237-2489
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP5860 | MN | Primary |
Addresses
Primary practice location
4756 Banning Ave Ste 217
White Bear Lake, MN 55110-3206
Mailing address
4756 Banning Ave Ste 217
White Bear Lake, MN 55110-3206
Phone (651) 210-7090
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 |
|---|---|---|---|
| LP5860 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1508272865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4756 BANNING AVE STE 217",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103206",
"telephone_number": "651-210-7090",
"fax_number": "651-377-4684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4756 BANNING AVE STE 217",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103206",
"telephone_number": "651-237-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAMM",
"first_name": "GRACE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.