Patrick Joseph Graveline, PSY.D., BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4582 Issued in MD

Practice address

10435 Downsville Pike
Hagerstown, MD 21740-1732

Phone

(301) 766-8222

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Board of Education of Washington County

  • Local Education Agency (LEA)
  • Hagerstown, MD
  • NPI 1336276682
  NPD (past)
• Washington County Early Intervention

  • Speech-Language Pathologist
  • Hagerstown, MD
  • NPI 1417082959
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609915495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 ANDOVER LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023722",
            "telephone_number": "402-613-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 DOWNSVILLE PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401732",
            "telephone_number": "301-766-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Andover Ln",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217023722",
            "country_code": "US",
            "telephone_number": "402-613-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVELINE",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "PSY.D., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "4582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252502000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Graham, LCPC
• Aimee Lynn Grahe, LAC
• Adam Grahn, DPM
• Brandy Hooper Grahn, D.P.M
• Amy Grantham, LICSW
• Kathryn Elaine Gravell, CCC,SLP
• Tiffani Sarah Graves
• Kelly Gray
• Kourtney Green Hadden, LCSW-C
• Melody Green, LCPC

• Clinical Psychologist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.