Individual provider Active NPI

Kathleen Anne Grant, PSYD

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1952487860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3928 Issued in OH
Practice address
4450 Carver Woods Dr
Cincinnati, OH 45242-5527
Phone
(513) 984-9940
Fax
(513) 984-9858
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3928 OH Primary

Addresses

Primary practice location

4450 Carver Woods Dr
Cincinnati, OH 45242-5527

Mailing address

4503 Bristol LN
Cincinnati, OH 45229-1213
Phone (513) 242-1663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051101000989 OH Practitioner - Clinical Psychologist 4486671187 Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4450 Carver Woods Dr
Cincinnati, OH 45242-5527
Phone (513) 984-9940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3928OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Grover Counseling LLC PastSince Sep 11, 2022 Accepting new patients
Nancy Stella PHD PSYD, LLC PastSince Oct 15, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952487860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 BRISTOL LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291213",
            "telephone_number": "513-242-1663",
            "fax_number": "513-984-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425527",
            "telephone_number": "513-984-9940",
            "fax_number": "513-984-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.