Danielle T Graddick, PSYD
Psychologist, Clinical in Montclair, New Jersey
1396338166- Practice location
- 408 Bloomfield Ave Ste A-1, Montclair, NJ 07042-3573
- Phone
- 862-217-6029
- Fax
- —
- Last updated
- September 17, 2022
Danielle Teresa Graddick is a Psychologist, Clinical based in Montclair, NJ. Danielle Teresa Graddick practices in Montclair, NJ and has the professional credentials of PSYD. The NPI Number for Danielle Teresa Graddick is 1396338166 and holds a License No. 024156 (NY). The current practice location address for Danielle Teresa Graddick is 408 Bloomfield Ave Ste A-1, Montclair, NJ 07042-3573 and can be reached out via phone at 862-217-6029.
Provider Profile Details
- NPI Number
- 1396338166
- Provider Name
- Danielle Teresa Graddick
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 408 Bloomfield Ave Ste A-1, Montclair, NJ 07042-3573
- Phone Number
- 862-217-6029
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 12, 2021
- Last Update Date
- September 17, 2022
- Certification Date
- September 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 408 Bloomfield Ave Ste A-1
Montclair, NJ 07042-3573 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3573
- Phone Number
- 862-217-6029
Provider Business Mailing Address Details
- Address
- 408 Bloomfield Ave Ste A-1
Montclair, NJ 07042-3573 - City
- Montclair
- State
- NJ
- Zip
- 07042-3573
- Phone Number
- 862-217-6029
License Information
- License Number (1)
- 024156
- License State (1)
- NY
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 35SI00642800
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Danielle T Graddick, PSYD?
The NPI number of Danielle T Graddick, PSYD is 1396338166. It was assigned on February 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Danielle T Graddick, PSYD?
Danielle T Graddick, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 024156.
Where does Danielle T Graddick, PSYD practice?
The practice location is 408 Bloomfield Ave Ste A-1, Montclair, NJ 07042-3573. The office can be reached at 862-217-6029 (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 1396338166 directly on the NPPES registry website.