Individual provider Active NPI

Natalie Grandy, PH.D

  • Psychologist
  • Mentor, OH
National Provider Identifier
1982174702
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
07716 Issued in OH
Practice address
8701 Mentor Ave
Mentor, OH 44060-6103
Phone
(440) 266-0770
Fax
(440) 266-0257
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 07716 OH Primary

Addresses

Primary practice location

8701 Mentor Ave
Mentor, OH 44060-6103

Mailing address

8701 Mentor Ave
Mentor, OH 44060-6103
Phone (440) 266-0770

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
I20190624000355 OH Practitioner - Clinical Psychologist 0446584601 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
07716OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Oct 1, 2021 Accepting new patients
B. Sharif MD, Inc PastSince Jun 6, 2019 Accepting new patients

Locations

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

6500 Rockside Rd
Ste 385
Independence, OH 44131

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

13550 Falling Water Rd
Ste 300
Strongsville, OH 44136
Phone (440) 998-7541

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1982174702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770",
            "fax_number": "440-266-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770",
            "fax_number": "440-266-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDY",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "07716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.