Robert William Grant, ED.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

23819 Issued in TX

Practice address

3301 101St St
Lubbock, TX 79423-4045

Phone

(806) 786-4384

Fax

(806) 281-9964

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• West Texas Developmental Pediatric & Behavorial Health Network, P.a.

  • Counselor
  • Lubbock, TX
  • NPI 1588774541
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811095607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 101ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234045",
            "telephone_number": "806-786-4384",
            "fax_number": "806-281-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 101ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234045",
            "telephone_number": "806-786-4384",
            "fax_number": "806-281-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "23819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1228348",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Ann Graham
• Rachel Graham, B.S.
• Suzanne Carol Graham, M.D.
• Wade Alan Graham, M.D.
• Pamela Jill Grant, RN, MSN, CS
• Sandra Lynn Grant, N.P.
• Troy Simon Grantham, M.D.
• Aaron Grappe
• Delanie Graser, SLP-INTERN
• James G Grattan, M.D.

• Clinical Neuropsychologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.