ANN D GRACER PHD NPI 1063407054

NPI Information

NPI: 1063407054
Provider Name: ANN D GRACER, PHD
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
6724 165TH ST
FRESH MEADOWS, NY
ZIP 11365
Phone: (718) 463-4640
Get Directions

Ann D Gracer, PHD is an adult development and aging psychologist in Fresh Meadows, NY with 32 years of experience. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. 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 7/8/2007.

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
1	103TA0700X	Psychologist	Adult Development & Aging	01778	NEW YORK	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	01778	NEW YORK	X
3	103TC0700X	Psychologist	Clinical	01778	NEW YORK	X
4	103TH0100X	Psychologist	Health Service	01778	NEW YORK	X
5	103TP0814X	Psychologist	Psychoanalysis	01778	NEW YORK	X
6	103T00000X	Psychologist		01778	NEW YORK	X
7	103TP2701X	Psychologist	Group Psychotherapy	01778	NEW YORK	X

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
1	179302	OTHER	NEW YORK	MHN
2	01383	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	GHI
3	S11486	MEDICARE UPIN	NEW YORK
4	01413547	MEDICAID	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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