Thomas Grace Psy.D.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

35S100487500 Issued in NJ

Legal business name

THOMAS GRACE PSY.D.

Practice address

14-25 Plaza Rd
Suite N-2-4
Fair Lawn, NJ 07410-3546

Phone

(201) 207-2199

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Thomas Grace, PSY.D.NPI 1689944647

Title

Psychologist

Phone

(201) 207-2199

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Charles Grace, PSY.D.

  • Clinical Psychologist
  • Fair Lawn, NJ
  • NPI 1689944647
  NPD Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1942574330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD",
            "address_2": "SUITE N-2-4",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103546",
            "telephone_number": "201-207-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD",
            "address_2": "SUITE N-2-4",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103546",
            "telephone_number": "201-207-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS GRACE PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-207-2199",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "35S100487500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.