Active NPI
Tamara Knapp-Grosz, PH.D.
- Psychologist
- Aubrey, TX
National Provider Identifier
1770108839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 38021
- Practice address
- 9312 Benefit Dr
Aubrey, TX 76227-5726 - Phone
- (912) 755-5042
- NPI assigned
- Jun 14, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002708 | GA | |
| Adult Development & Aging Psychologist | 103TA0700X | 1862 | NC | |
| Psychologist | 103T00000X | 38021 | TX | Primary |
Addresses
Primary practice location
9312 Benefit Dr
Aubrey, TX 76227-5726
Mailing address
9312 Benefit Dr
Aubrey, TX 76227-5726
Phone (912) 755-5042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002708 | GA | MD | Psychologist |
| 38021 | TX | MD | Psychologist |
| 1862 | NC | MD | Adult Development & Aging Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592092800000",
"number": "1770108839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9312 BENEFIT DR",
"city": "AUBREY",
"state": "TX",
"postal_code": "762275726",
"telephone_number": "912-755-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9312 BENEFIT DR",
"city": "AUBREY",
"state": "TX",
"postal_code": "762275726",
"telephone_number": "912-755-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP-GROSZ",
"first_name": "TAMARA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-14",
"last_updated": "2020-06-14",
"certification_date": "2020-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002708",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NC",
"license": "1862",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "38021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.