JEFFREY M GRAN PSY D PA (NPI# 1225137300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225137300 |
| Entity Type | Organization |
| Organization Name | JEFFREY M GRAN PSY D PA |
| Practice Address |
4302 W Broward Blvd Suite 800 Plantation FL 33317-3780 |
| Mailing Address |
420 Sw 70th Ave Pembroke Pines FL 33023-1019 |
| Practice Telephone | 9548937829 |
| Practice Fax Number | 9548937829 |
| Mailing Telephone | 9548937829 |
| Mailing Fax Number | 9548937829 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | DR. JEFFREY M. GRAN (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 9548937829 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY 5683 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4302 W BROWARD BLVD SUITE 800 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448607 | William John Dickerson II | Internal Medicine | 4302 W Broward Blvd, Suite 200, Plantation, FL 33317-3780 | 2006-05-25 |
| 1962716506 | Comprehensive Neurobehavioral Institute Pllc | Chiropractor | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2010-08-05 |
| 1063630861 | David B. Ross | Psychiatry & Neurology | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2007-04-24 |
| 1558497719 | Nicole Lynn Vredenburg | Social Worker | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2007-02-24 |
| 1679599310 | Jeffrey Miles Gran | Clinical Neuropsychologist | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558886069 | Radius Tbi of South Florida | Clinical Neuropsychologist | 4330 W Broward Blvd Ste G, Plantation, FL 33317-3753 | 2017-08-04 |
| 1245684091 | Ana Santana, Psy.d., P.a. | Clinical Neuropsychologist | 292 S University Dr, Plantation, FL 33324-3308 | 2016-04-18 |
| 1760528822 | Allan E Ribbler | Clinical Neuropsychologist | 410 Nw 74th Ave, Plantation, FL 33317-1618 | 2007-01-29 |
| 1376521971 | Kathleen Knee | Clinical Neuropsychologist | 300 S Pine Island Rd, #263, Plantation, FL 33324-2673 | 2006-01-04 |
| 1235585787 | Ana Teresa Santana | Clinical Neuropsychologist | 292 S University Dr, Plantation, FL 33324 | 2016-05-13 |
| 1679599310 | Jeffrey Miles Gran | Clinical Neuropsychologist | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
| 1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
| 1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
| 1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.