Douglas Allan Graves, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004669 Issued in CO

Practice address

1776 S Jackson St Ste 204
Denver, CO 80210

Phone

(720) 295-5853

Fax

(866) 466-5083

NPI assigned

May 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Novis Initiis Psychotherapy PLLC

  • Psychologist
  • Vancouver, WA
  • NPI 1770415960

  Clinical

  NPD Authorized official
• Novis Initiis Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1760018956
  NPD (past) Authorized official

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1952535437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370448",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802370448",
            "telephone_number": "720-295-5853",
            "fax_number": "866-466-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "720-295-5853",
            "fax_number": "866-466-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "DOUGLAS",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004669",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BX858A",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dgraves.kasa-solutions.com/",
            "affiliation": "N",
            "endpointDescription": "Seecure Medical Data Storage and Scheduling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Scheduling and Notes",
            "address_1": "1776 S Jackson St Ste 204",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kari Louise Gratz, RN
• Norbert Gratzl, DPT
• Graves Chiropractic, P.C.
• Danea Graves, DMD
• Danielle Elizabeth Graves, MSW, LCSW
• Jessica Graves, MA, LPC, BCB
• John S Graves, MD
• Julie Graves, LCSW
• Kasia E Graves, LAC, MSOM
• Keith J Graves, D.C.

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.