Individual provider Active NPI

Gratia L. Meyer, PH.D.

  • Clinical Psychologist
  • Centennial, CO
National Provider Identifier
1780778290
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1661 Issued in CO
Practice address
6053 S Quebec St
Suite 203
Centennial, CO 80111-4503
Phone
(303) 779-5232
Fax
(303) 221-8493
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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 1661 CO Primary

Addresses

Primary practice location

6053 S Quebec St
Suite 203
Centennial, CO 80111-4503

Mailing address

6053 S Quebec St
Suite 203
Centennial, CO 80111-4503
Phone (303) 779-5232

Other identifiers 1

IdentifierTypeStateIssuer
07106834MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120208000764 CO Practitioner - Clinical Psychologist 2769558790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

216 Grand Reserve Dr
Bunnell, FL 32110-3409

4962 S Xenia St
Denver, CO 80237-2957

8751 E Hampden Ave
Suite B3
Denver, CO 80231-4929
Phone (303) 779-5232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1661COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gratia L. Meyer, PHD LLC CurrentSince Dec 2, 2011 Accepting new patients
Laura R Mehringer Ms RXN CNS LLC Past Accepting new patients

Locations

8751 E Hampden Ave
Ste B3
Denver, CO 80231
Phone (303) 695-0499

8751 E Hampden Ave
Ste B9
Denver, CO 80231
Phone (303) 337-9256

8000 E Prentice Ave
Ste B13
Greenwood Village, CO 80111
Phone (303) 779-5232

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1780778290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 S QUEBEC ST",
            "address_2": "SUITE 203",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114503",
            "telephone_number": "303-779-5232",
            "fax_number": "303-221-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 S QUEBEC ST",
            "address_2": "SUITE 203",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114503",
            "telephone_number": "303-779-5232",
            "fax_number": "303-221-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "GRATIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07106834",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.