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DR. AARON JOHN GRACE PSY.D. NPI 1720311467


NPI Information

NPI: 1720311467
Provider Name: DR. AARON JOHN GRACE, PSY.D.
Classification: Psychologist - 103TH0004X
Entity Type: Individual

Specialization: Health

PECOS Registration: Yes

Address:
210 NW BARSTOW ST
SUITE 201
WAUKESHA, WI
ZIP 53188
Phone: (262) 548-6903
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DR. Aaron John Grace, PSY.D. is a health psychologist in Waukesha, WI with 14 years of experience. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • DR. Aaron John Grace, PSY.D. NPI is 1720311467. The provider is registered as an individual entity type.

    The NPPES NPI record indicates the provider is a male.

    The provider's business location address is:

    210 NW BARSTOW ST
    SUITE 201
    WAUKESHA, WI
    ZIP 53188-771
    Phone: (262) 548-6903
    Fax: (262) 548-3820

    The NPI 1720311467 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 9/14/2009 and was last updated on 10/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical3049-57WISCONSINNo
2103TH0004XPsychologistHealth3049-57WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11720311467MEDICAIDWISCONSIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.