Active NPI
Tiffani Grant, M.S., PSYD
- Forensic Psychologist
- Hanford, CA
National Provider Identifier
1922390533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY30566
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30566 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Mental Health | Current | 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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.