DOUGLAS E GRANT (PH.D.) – Psychologist, NPI 1508997792
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DOUGLAS E GRANT (PH.D.)
P.O. BOX 6002
URBANA, IL 618036002
Phone: (217) 326-8300
Type: Mailing
602 W. UNIVERSITY AVENUE
NEUROPSYCHOLOGY
URBANA, IL 61801
Phone: (217) 383-3520
Fax: (217) 383-7117
Type: Location
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 890522703
Phone: (702) 589-4871
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.
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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: 2017-07-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170725002865 | I | Clinical Psychologist | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61803)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | IL | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 324 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | VA | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | VA | |
| Nurse Practitioner | VA | |
| Clinical Social Worker | PA | |
| Clinical Social Worker | VA |
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