Individual provider Active NPI

Tiffani Grant, M.S., PSYD

  • Forensic Psychologist
  • Hanford, CA
National Provider Identifier
1922390533
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY30566 Issued in CA
Practice address
310 N Irwin St Ste 14
Hanford, CA 93230-4479
Phone
(559) 309-4151
NPI assigned
May 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Forensic Psychologist 103TF0200X PSY30566 CA Primary

Addresses

Primary practice location

310 N Irwin St Ste 14
Hanford, CA 93230-4479

Mailing address

187 E. Polk Street,
#62
Coalinga, CA 93210
Phone (951) 746-9383

Other practice location 1

1202 Morena Blvd
Suite300
San Diego, CA 92110-3841
Phone (619) 275-0822 ext. 324

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191108000840 CA Practitioner - Clinical Psychologist 7911339106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30566CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Sep 18, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1922390533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E. POLK STREET,",
            "address_2": "#62",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "93210",
            "telephone_number": "951-746-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N IRWIN ST STE 14",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304479",
            "telephone_number": "559-309-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Morena Blvd",
            "address_2": "Suite300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103841",
            "country_code": "US",
            "telephone_number": "619-275-0822 x324",
            "fax_number": "619-275-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TIFFANI",
        "name_prefix": "Dr.",
        "credential": "M.S., PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-15",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY30566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "No electronic data stored or transmitted",
            "address_1": "314 N Irwin St # 14",
            "city": "Hanford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932304424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.