Individual provider Active NPI

Tamara Knapp-Grosz, PH.D.

  • Psychologist
  • Aubrey, TX
National Provider Identifier
1770108839
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38021 Issued in TX
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

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY002708GAMDPsychologist
38021TXMDPsychologist
1862NCMDAdult 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.

Verify at the official NPI Registry.