Grant a. Killian, PH.D., P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY3298 Issued in FL

Legal business name

GRANT A. KILLIAN, PH.D., P.A.

Practice address

950 Peninsula Corporate Cir
Ste 1004
Boca Raton, FL 33487-1378

Phone

(954) 360-4200

Fax

(954) 782-9000

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Grant Aram Killian, PH.D.NPI 1154443380

Title

President/Owner

Phone

(954) 786-9000

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Grant Aram Killian, PH.D.

  • Psychologist
  • Boca Raton, FL
  • NPI 1154443380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1972560472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 NE 30TH ST",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648524",
            "telephone_number": "954-786-9000",
            "fax_number": "954-782-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR",
            "address_2": "STE 1004",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871378",
            "telephone_number": "954-360-4200",
            "fax_number": "954-782-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT A. KILLIAN, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "ARAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-786-9000",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3298",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY3298",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY3298",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3298",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY3298",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY3298",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY3298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Graff
• Patrick Vincent Graham, M.D.
• Tiffany E Graham, LCSW, MCAP, QS
• Jessica Erin Granata, DNP, FNP-C, PMHNP-BC
• Jacquelyn Michelle Granda, LMHC, NCC
• Grant Disick MD PA
• Sharon Grant-White
• Jeremiah Lewis Grantham, A.P. , LMT
• Ashley Grasso, APRN, FNP-BC
• Liosdany Graveran Valido

• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.