Nickholas Grant, PHD
Psychologist, Clinical in Orange, Connecticut
1336967264- Practice location
- 6222 Avalon Dr W, Orange, CT 06477-3684
- Phone
- 203-701-6047
- Fax
- —
- Last updated
- September 30, 2024
Nickholas Grant is a Psychologist, Clinical based in Orange, CT. Nickholas Grant practices in Orange, CT and has the professional credentials of PHD. The NPI Number for Nickholas Grant is 1336967264 and holds a License No. 4836 (CT). The current practice location address for Nickholas Grant is 6222 Avalon Dr W, Orange, CT 06477-3684 and can be reached out via phone at 203-701-6047.
Provider Profile Details
- NPI Number
- 1336967264
- Provider Name
- Nickholas Grant
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6222 Avalon Dr W, Orange, CT 06477-3684
- Phone Number
- 203-701-6047
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 30, 2024
- Last Update Date
- September 30, 2024
- Certification Date
- September 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6222 Avalon Dr W
Orange, CT 06477-3684 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3684
- Phone Number
- 203-701-6047
Provider Business Mailing Address Details
- Address
- 2389 Main St Ste 100
Glastonbury, CT 06033-4617 - City
- Glastonbury
- State
- CT
- Zip
- 06033-4617
License Information
- License Number
- 4836
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Orange, CT
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- Dr. Judy L Perlman, PHDPsychologist, Clinical · NPI 1386830107
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- Dr. Meagan M Carr, PHDPsychologist, Clinical · NPI 1447825963
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Frequently Asked Questions
What is the NPI number of Nickholas Grant, PHD?
The NPI number of Nickholas Grant, PHD is 1336967264. It was assigned on September 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Nickholas Grant, PHD?
Nickholas Grant, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 4836.
Where does Nickholas Grant, PHD practice?
The practice location is 6222 Avalon Dr W, Orange, CT 06477-3684. The office can be reached at 203-701-6047 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336967264 directly on the NPPES registry website.