ANN D GRACER PHD NPI 1063407054

NPI Information

  • NPI: 1063407054
  • Provider Name: ANN D GRACER, PHD
  • Classification: Psychologist - 103TP2701X
  • Specialization: Group Psychotherapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6724 165TH ST
    FRESH MEADOWS, NY
    ZIP 11365
  • Phone: (718) 463-4640

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NPI Details

Ann D Gracer, PHD is a group psychotherapy psychologist in Fresh Meadows, NY with 34 years of experience. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. Ann D Gracer, PHD NPI is 1063407054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6724 165TH ST
FRESH MEADOWS, NY
ZIP 11365-204
Phone: (718) 463-4640
Fax: (718) 463-4655

The NPI 1063407054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0700XPsychologistAdult Development & Aging01778NEW YORKNo
2103TB0200XPsychologistCognitive & Behavioral01778NEW YORKNo
3103TC0700XPsychologistClinical01778NEW YORKNo
4103TH0100XPsychologistHealth Service01778NEW YORKNo
5103TP0814XPsychologistPsychoanalysis01778NEW YORKNo
6103T00000XPsychologist01778NEW YORKNo
7103TP2701XPsychologistGroup Psychotherapy01778NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101413547MEDICAIDNEW YORK
2179302OTHERNEW YORKMHN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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