Anne M Grand, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014933 Issued in NY

Practice address

1 W 64TH St Apt 1C
New York, NY 10023-6746

Phone

(212) 799-3167

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619005279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 DODGEWOOD RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713604",
            "telephone_number": "718-884-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 64TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236746",
            "telephone_number": "212-799-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Meridian, Inc.
• Grand Optical
• Grand Rehab Medical
• Grand Street Pharmaceutical LLC
• Grand Street Pharmaceutical LLC
• Carole Grand, PHD
• Elizabeth Grand
• Clara Granda-Cameron IV, CRNP
• Caren E Grande, LCSW
• Harriet Mari Grande, LCSW-R, LCAT

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.