Individual provider Active NPI

Jeffrey S. Grand, PSY.D.

  • Clinical Psychologist
  • Jenkintown, PA
National Provider Identifier
1619953361
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015842 Issued in PA
Practice address
101 Old York Rd Ste 202
Jenkintown, PA 19046-3911
Phone
(215) 901-8791
Fax
(215) 333-7563
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015842 PA Primary

Addresses

Primary practice location

101 Old York Rd Ste 202
Jenkintown, PA 19046-3911

Mailing address

101 Old York Rd Ste 202
Jenkintown, PA 19046-3911
Phone (215) 901-8791

Other practice location 1

100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone (215) 707-8496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050811000074 PA Practitioner - Clinical Psychologist 1153350053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians
Jeffrey S Grand, PSYD, PLLCGroup PAC ID 9234238023, 2 clinicians

Practice addresses (Care Compare)

100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone (215) 707-1800

101 Old York Rd
Suite 202
Jenkintown, PA 19046-3911
Phone (215) 333-7562

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Mar 6, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 6, 2019 Accepting new patients
Jeffrey S. Grand, PSYD, PLLC Current Accepting new patients
Jeffrey S Grand, PSYD, PLLC Clinical CurrentSince Mar 15, 2007 Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Jan 16, 1997 Accepting new patients
Psychology Center for the Cumberlands Past Accepting new patients
Optimal Mental Health & Wellness, PLLC PastSince Nov 15, 2025 Accepting new patients

Locations

101 Old York Rd
Ste 202
Jenkintown, PA 19046
Phone (215) 333-7562

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

100 E Lehigh Ave
Ste 105
Philadelphia, PA 19125
Phone (215) 707-8483

8400 Roosevelt Blvd
Ste 206
Philadelphia, PA 19152
Phone (215) 333-7560

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

Organizations & group practices 7

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1619953361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD STE 202",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463911",
            "telephone_number": "215-901-8791",
            "fax_number": "215-333-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD STE 202",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463911",
            "telephone_number": "215-901-8791",
            "fax_number": "215-333-7563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lehigh Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191251012",
            "country_code": "US",
            "telephone_number": "215-707-8496",
            "fax_number": "215-707-4086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAND",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.