Rachael Kellie Grantham, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1825 E Northern Ave
Phoenix, AZ 85020-3940

Phone

(602) 997-2880

NPI assigned

Jun 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Doorways, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609134857
  NPD (past)

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497139200000",
    "number": "1902335052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W KURALT DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863629",
            "telephone_number": "623-341-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203940",
            "telephone_number": "602-997-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "RACHAEL",
        "middle_name": "KELLIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2017-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Elise Grant, OT
• Nicholas Joseph Grant, PT, DPT
• Oneil Grant, DO
• Pamela K. Grant, MSN, RN, CPNP
• Tylor Paul Grant, PT, DPT
• Hannah Le Graphenteen, FNP-C
• Brittany Grasberger, DPT
• Savannah Grassel, PA-C
• Brenda Grasso
• Carl Grasso

• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2017; 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.