DR. KAMAU I IMAROGBE GRANTHAM (NPI# 1285709295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285709295 |
| Entity Type | Individual |
| Full Name | DR. KAMAU I IMAROGBE GRANTHAM |
| Credential | PH. D. |
| Practice Address |
11402 Guy R Brewer Blvd Suite 216 Jamaica NY 11434-1234 |
| Practice Telephone | 7188836650 |
| Practice Fax Number | 7188836669 |
| Mailing Telephone | 7188836650 |
| Mailing Fax Number | 7188836669 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
68 016333 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| Street Address |
11402 GUY R BREWER BLVD SUITE 216 |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518050921 | Louise Ann Liverpool | Pediatrics | 11402 Guy R Brewer Blvd, Jamaica, NY 11434-1234 | 2006-09-30 |
| 1487827374 | Karaine L Sanders | Psychologist | 11402 Guy R Brewer Blvd, Suite 216, Jamaica, NY 11434-1234 | 2008-04-11 |
| 1881773133 | Bruce Louis Morel | Surgery | 11402 Guy R Brewer Blvd, Jamaica, NY 11434-1234 | 2006-11-06 |
| 1851470363 | Clifford Frank Feiner | Internal Medicine | 11402 Guy R Brewer Blvd, Jamaica, NY 11434 | 2006-11-03 |
| 1235217654 | Audrey Michele Tinsley | Physician Assistant | 11402 Guy R Brewer Blvd, Jamaica, NY 11434-1234 | 2006-11-02 |
| 1174600357 | Margaret M Murphy | Social Worker | 11402 Guy R Brewer Blvd, Jamaica, NY 11434-1234 | 2006-11-01 |
| 1144301326 | Andrew Noble Singer | Pediatrics | 11402 Guy R Brewer Blvd, Jamaica, NY 11434-1234 | 2006-10-17 |
| 1497848808 | Olfat Hassan Mahdy-gewaily | Pediatrics | 11402 Guy R Brewer Blvd, Jamaica, NY 11434-1234 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265258 | Andrea Goldfeder | Psychologist | 9009 Van Wyck Expy, Jamaica, NY 11435-4200 | 2016-10-11 |
| 1427236553 | Vera Majerski | Psychologist | 89-31 161st Street, Jamaica, NY 11432 | 2008-01-31 |
| 1336351824 | Elin Weinstein | Psychologist | 182-49 Radnor Road, Jamaica, NY 11432 | 2007-05-04 |
| 1417177106 | Lukisha Homer | Psychologist | 17232 133rd Ave Apt 11g, Jamaica, NY 11434-3933 | 2007-04-26 |
| 1295804656 | Advanced Counseling Concepts | Psychologist | 18438 Aberdeen Rd, Jamaica, NY 11432-1516 | 2006-11-07 |
| 1992889315 | Judith Choate Flower | Psychologist | 1905 Turkey Mtn Road, Jamaica, VT 05343 | 2006-10-24 |
| 1477599660 | Laura Hahn | Psychologist | 14445 87th Ave, Jamaica, NY 11435-3109 | 2006-06-22 |
| 1508806688 | Annie Lee Jones | Psychologist | 8786 188th St, Hollis, Jamaica, NY 11423-1131 | 2006-06-07 |
| 1124684691 | Claudia Douyon | Psychologist | 8675 Midland Pkwy, Jamaica, NY 11432-3058 | 2019-05-10 |
| 1952884447 | Elaine Lavin | Psychologist | 17900 Linden Blvd, Jamaica, NY 11434-1468 | 2018-09-11 |
| Find all providers in JAMAICA | ||||
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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.