David Andrew Grandin, MFCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MT20066 Issued in CA

Practice address

540 Morey Dr # 203B
Menlo Park, CA 94025-5123

Phone

(650) 207-5705

NPI assigned

Mar 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1558001065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MOREY DR # 203B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255123",
            "telephone_number": "650-207-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MOREY DR # 203B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255123",
            "telephone_number": "650-207-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIN",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MFCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "MT20066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12345678910",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "6502075705",
            "affiliation": "N",
            "endpointDescription": "TEXT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 Morey Dr # 203B",
            "city": "Menlo Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940255123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet Goy
• Gloria Jean Grace, MSW
• Katherine Graham
• Grail, Inc.
• Gail Anne Gram, R.N.
• Barbara L Green
• Catherina Yang Greenberg, MD
• Lauren Greenberg, MD
• Carolyn Joanne Greene, PH.D.
• David L Gregg, MD

• Professional Counselor in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.