Richard K Grana, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20090217A Issued in IN

Practice address

9240 N Meridian Street
Suite 320
Indianapolis, IN 46260-1822

Phone

(317) 844-7489

Fax

(317) 581-1007

NPI assigned

May 17, 2006

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Associates IndyGroup PAC ID 4880136845, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Health Associates Indy

  • Psychologist
  • Indianapolis, IN
  • NPI 1578253233
  Medicare reassignment Care Compare group NPD
• Richard J K Grana Inc

  • Psychologist
  • Indianapolis, IN
  • NPI 1023405578
  Medicare reassignment Authorized official
• Health Associates LLC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1417081373
  NPD Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1972555894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN STREET",
            "address_2": "SUITE 320",
            "city": "INDIANPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-844-7489",
            "fax_number": "317-581-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN STREET",
            "address_2": "SUITE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-844-7489",
            "fax_number": "317-581-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANA",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20090217A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Marie Gralia, CPNP
• Gregory P Gramelspacher, MD
• Sarah Kathleen Gramke, LMHC
• Anna Gramling, MD
• Tricia Grams
• Grand Old Docs of the Southside (Central Indiana Medical Group)
• Grand Ole Docs of the Southside (Central Indiana Medical Group)
• Grand Ole Docs of the Southside, LLC (Central Indiana Medical Group)
• Grand Ole Docs of the Southside, LLC (Central Indiana Medical Group)
• Areli Grande

• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.