Active NPI
Grace Chew Graham, PSY.D.
- Clinical Psychologist
- Plano, TX
National Provider Identifier
1619935228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24701
- Practice address
- 6220 Chase Oaks Blvd
Suite 104
Plano, TX 75023-4640 - Phone
- (469) 467-7595
- Fax
- (469) 467-0916
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24701 | TX | Primary |
Addresses
Primary practice location
6220 Chase Oaks Blvd
Suite 104
Plano, TX 75023-4640
Mailing address
6220 Chase Oaks Blvd
Suite 104
Plano, TX 75023-4640
Phone (469) 467-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061031000424 | TX | Practitioner - Clinical Psychologist | 5698772853 | Practice locations: Plano, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2701 Broken Bow Cir
Plano, TX 75093-3395
Phone (469) 467-7595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24701 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1619935228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 CHASE OAKS BLVD",
"address_2": "SUITE 104",
"city": "PLANO",
"state": "TX",
"postal_code": "750234640",
"telephone_number": "469-467-7595",
"fax_number": "469-467-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 CHASE OAKS BLVD",
"address_2": "SUITE 104",
"city": "PLANO",
"state": "TX",
"postal_code": "750234640",
"telephone_number": "469-467-7595",
"fax_number": "469-467-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "GRACE",
"middle_name": "CHEW",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "24701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.