Individual provider Active NPI

Michelle Wensing Graziosi, L.P.A.

  • Clinical Psychologist
  • New Bern, NC
National Provider Identifier
1861692063
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1494 Issued in NC
Practice address
3010 Trent Rd
New Bern, NC 28562-5735
Phone
(252) 636-0001
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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 1494 NC Primary

Addresses

Primary practice location

3010 Trent Rd
New Bern, NC 28562-5735

Mailing address

3010 Trent Rd
New Bern, NC 28562-5735
Phone (252) 636-0001

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

State licenses

LicenseStateTypeSpecialty
1494NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Carolina Health Resources Clinical Past Accepting new patients

Organizations & group practices 1

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1861692063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625735",
            "telephone_number": "252-636-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625735",
            "telephone_number": "252-636-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIOSI",
        "first_name": "MICHELLE",
        "middle_name": "WENSING",
        "name_prefix": "Mrs.",
        "credential": "L.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.