Individual provider Active NPI

Jeffrey Miles Gran, PSY.D.

  • Clinical Neuropsychologist
  • Plantation, FL
National Provider Identifier
1679599310
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY 5683 Issued in FL
Practice address
4302 W Broward Blvd
Suite 800
Plantation, FL 33317-3780
Phone
(954) 893-7829
Fax
(954) 893-7829
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY 5683 FL Primary

Addresses

Primary practice location

4302 W Broward Blvd
Suite 800
Plantation, FL 33317-3780

Mailing address

420 SW 70TH Ave
Pembroke Pines, FL 33023-1019
Phone (954) 893-7829

Other practice location 1

9055 SW 87th Ave Ste 100
Miami, FL 33176-2306
Phone (305) 596-2080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.gran@fcn.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050215000309 FL Practitioner - Clinical Psychologist 3476505736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

9055 SW 87TH Ave
Suite 100
Miami, FL 33176-2306
Phone (305) 596-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 5683FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP CurrentSince Feb 1, 2005 Accepting new patients

Locations

9960 NW 116th Way
Ste 13
Medley, FL 33178

9055 SW 87th Ave
Ste 100
Miami, FL 33176
Phone (305) 596-2080

9090 SW 87th Ct
Ste 200
Miami, FL 33176
Phone (305) 596-2080

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

1050 NE 125th St
North Miami, FL 33161
Phone (305) 357-1735

Organizations & group practices 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1679599310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SW 70TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231019",
            "telephone_number": "954-893-7829",
            "fax_number": "954-893-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W BROWARD BLVD",
            "address_2": "SUITE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173780",
            "telephone_number": "954-893-7829",
            "fax_number": "954-893-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 SW 87th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762306",
            "country_code": "US",
            "telephone_number": "305-596-2080",
            "fax_number": "305-351-7905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAN",
        "first_name": "JEFFREY",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.gran@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9090 SW 87th Ct Ste 200",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.