Rebecca E. Gras, PSYD, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05453 Issued in MD

Practice address

4800 Roland Ave Ste 301
Baltimore, MD 21210

Phone

(443) 399-6134

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Laurel & Oak Psychological Services

  • Clinical Psychologist
  • Baltimore, MD
  • NPI 1821744343
  NPD Authorized official

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1689868531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 ROLAND AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102347",
            "telephone_number": "443-399-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ROLAND AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "443-399-6134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Hilltop Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183736",
            "country_code": "US",
            "telephone_number": "267-825-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAS",
        "first_name": "REBECCA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torie Grant, MD
• Tzvi Moshe Grant, BT
• Victoria L Grant, RN
• Christine Carol Grap, CRNP
• Grapevine Radiology Associates
• Sara Lauren Grassi
• Amy Grasso, MA, CCC-SLP
• Anna Grasso, MS, OTR/L
• Deanna Grasso, PA-C
• Michael A. Grasso, MD, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.