Individual provider Active NPI

Grant Hart, PSYD

  • Psychologist
  • Gresham, OR
National Provider Identifier
1609276781
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2789 Issued in OR
Practice address
2870 NE Hogan Dr.
Ste. E, #140
Gresham, OR 97030-5164
Phone
(503) 610-3615
Fax
(971) 293-2301
NPI assigned
Aug 26, 2014
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2789 OR Primary

Addresses

Primary practice location

2870 NE Hogan Dr.
Ste. E, #140
Gresham, OR 97030-5164

Mailing address

2870 NE Hogan Dr
Ste. E, #140
Gresham, OR 97030-1365
Phone (503) 610-3615

Other practice location 1

2222 E Powell Blvd
Gresham, OR 97080-1365
Phone (503) 669-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20190204001520 OR Practitioner - Clinical Psychologist 5698012359 Reassigns benefits to 1 organization
Practice locations: Deer Island, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hart-2-Heart Therapy ServicesGroup PAC ID 5991230625, 3 clinicians

Practice addresses (Care Compare)

Deer Island, OR 97054
Phone (503) 610-3615

2870 NE Hogan Dr
Suite E
Gresham, OR 97030-3173

64503 2ND St
Deer Island, OR 97054-9745
Phone (503) 610-3615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2789ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hart-2-Heart Therapy Services CurrentSince Oct 9, 2024 Accepting new patients

Locations

2870 NE Hogan Dr
Ste E
Gresham, OR 97030
Phone (503) 610-0735

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.granthart@148835.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1609276781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 NE HOGAN DR",
            "address_2": "STE. E, #140",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970301365",
            "telephone_number": "503-610-3615",
            "fax_number": "971-293-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 NE HOGAN DR.",
            "address_2": "STE. E, #140",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305164",
            "telephone_number": "503-610-3615",
            "fax_number": "971-293-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 E Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970801365",
            "country_code": "US",
            "telephone_number": "503-669-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2014-08-26",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.