JASON GRAVANO (PH.D.) – Clinical Neuropsychologist, NPI 1548749500

JASON GRAVANO (PH.D.) is a healthcare provider. based in Fresno, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY30197 (CA). The NPI Number for JASON GRAVANO (PH.D.) is 1548749500

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JASON GRAVANO (PH.D.)
NPI
1548749500
Phone
(559) 443-2682
Address
2625 E DIVISADERO ST
Enumeration Date
10 August 2018
Last Update Date
28 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5592245864
Graduation Year
2012 (14 years ago)
PAC ID
8628312097
Group Practice PAC ID
7517859994
Professional Enrollment ID
I20181212001447
Address ID
CA937012234FR2335XLNXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for JASON GRAVANO (PH.D.)

  • 2625, Divisadero Street, Fresno, Fresno County, California, 93721, United States

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Type: Mailing

  • 2335 E KASHIAN LN STE 301

    FRESNO, CA 937012234

    Phone: (559) 459-6394

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181212001447IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes25757$0
96133Evaluation of neuropsychological test, each additional hour14159$0
96132Evaluation of neuropsychological test, first hour9074$0
96116Exam of neurobehavioral status, first hour6261$0
96136Administration of psychological or neuropsychological test, first 30 minutes6059$0
View full utilization report →

Insurance plans in this area (ZIP 93721)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517859994View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineCA
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseCA
Family PracticeCA
Neurology, Internal MedicineCA
N E U R O L O G YCA
Infectious Disease, Internal MedicineCA

Reviews

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Frequently asked questions

Can I cross-check JASON GRAVANO (PH.D.) using NPI 1548749500?
NPI 1548749500 belongs to JASON GRAVANO (PH.D.); compare other details if you need extra assurance.
Would JASON GRAVANO (PH.D.) appear as active to a payer?
You can treat JASON GRAVANO (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JASON GRAVANO (PH.D.)?
JASON GRAVANO (PH.D.)'s specialty line reads Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where in California is JASON GRAVANO (PH.D.) registered?
Use Fresno, California as the headline location for JASON GRAVANO (PH.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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