Individual provider Active NPI

Lais Granemann

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1609729748
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
07632 Issued in MD
Practice address
8701 Georgia Ave Ste 603
Silver Spring, MD 20910-3713
Phone
(202) 545-2410
NPI assigned
Feb 18, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PSYA200001684 DC
Clinical Psychologist 103TC0700X 07632 MD Primary

Addresses

Primary practice location

8701 Georgia Ave Ste 603
Silver Spring, MD 20910-3713

Mailing address

7700 Old Georgetown Road
Suite 675
Bethesda, MD 20814

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

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1609729748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD GEORGETOWN ROAD",
            "address_2": "SUITE 675",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 GEORGIA AVE STE 603",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103713",
            "telephone_number": "202-545-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANEMANN",
        "first_name": "LAIS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": "PSYA200001684",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "07632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.