Michael John Grau, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

013600 Issued in NY

Practice address

1190 Troy Schenectady Rd
Latham, NY 12110-1026

Phone

(518) 469-3110

NPI assigned

Nov 21, 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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Comprehensive Neuropsychological Services, PLLC

  • Clinical Neuropsychologist
  • Albany, NY
  • NPI 1518184712
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1881769586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 TROY SCHENECTADY RD",
            "address_2": "SUITE 267",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101608",
            "telephone_number": "518-469-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101026",
            "telephone_number": "518-469-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAU",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "013600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11324536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Renae Goss, OTRL
• Alexis Gould, OT
• Jill M. Graham, P.T.
• Christine A Grandchamp, PT
• Sheela S Graney, M.D.
• Katelyn Gray, RN
• Daniel Greenblatt, MD
• Cynthia Joyce Greene, CCC-SLP
• Nora Gribbin, PT
• Janine Elizabeth Griffith, PA-C

• Clinical Neuropsychologist in Latham, NY
• Providers in Latham, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.