Active NPI
Denise Anne Granai
- School Psychologist
- Altadena, CA
National Provider Identifier
1518530948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 190073914
- Practice address
- 622 Colman St
Altadena, CA 91001-3033 - Phone
- (845) 368-0681
- NPI assigned
- Jul 22, 2021
- 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 | 190073914 | CA | Primary |
Addresses
Primary practice location
622 Colman St
Altadena, CA 91001-3033
Mailing address
622 Colman St
Altadena, CA 91001-3033
Other practice location 1
52/48 Soi Chai Yot, Sukhumvit 13 Soi 1-1
Beverly Tower
Bangkok, Whattana 10110
TH
Phone (845) 368-0681
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 |
|---|---|---|---|
| 190073914 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1518530948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 COLMAN ST",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910013033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 COLMAN ST",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910013033",
"telephone_number": "845-368-0681"
}
],
"practiceLocations": [
{
"address_1": "52/48 Soi Chai Yot, Sukhumvit 13 Soi 1-1",
"address_2": "Beverly Tower",
"address_purpose": "LOCATION",
"city": "Bangkok",
"state": "Whattana",
"postal_code": "10110",
"country_code": "TH",
"telephone_number": "845-368-0681",
"country_name": "Thailand",
"address_type": "FGN"
}
],
"basic": {
"last_name": "GRANAI",
"first_name": "DENISE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "190073914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altadena, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.