JENNIFER ANN GRAMZOW (PHD) – Cognitive & Behavioral Psychologist, NPI 1346381795

JENNIFER ANN GRAMZOW (PHD) is a healthcare provider. based in Troy, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301012213 (MI). The NPI Number for JENNIFER ANN GRAMZOW (PHD) is 1346381795

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN GRAMZOW (PHD)
NPI
1346381795
Phone
(248) 646-6659
Address
2075 W BIG BEAVER RD
Enumeration Date
9 February 2007
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486466659
Graduation Year
2002 (24 years ago)
PAC ID
2860787785
Group Practice PAC ID
6800867755
Professional Enrollment ID
I20160817000438
Address ID
MI480843442TR2075XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for JENNIFER ANN GRAMZOW (PHD)

  • 2075 W BIG BEAVER RD

    SUITE 520

    TROY, MI 480843407

    Phone: (248) 646-6659

    Fax: (248) 642-8645

    Mailing address matches the actual address.

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: 2016-08-17

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
I20160817000438IClinical PsychologistMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48084)

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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: 6800867755View full group profile
NameSpecialtyState
Clinical Social WorkerIL
-MI
-MI
Mental Health CounselorMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER ANN GRAMZOW (PHD) for billing?
Administrative and clinical systems typically use NPI 1346381795 for JENNIFER ANN GRAMZOW (PHD).
Is JENNIFER ANN GRAMZOW (PHD)'s NPI status active today?
Active status means JENNIFER ANN GRAMZOW (PHD)'s NPI record is not deactivated in the public file.
How should patients interpret JENNIFER ANN GRAMZOW (PHD)'s specialty?
The extract shows Cognitive & Behavioral Psychologist for JENNIFER ANN GRAMZOW (PHD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JENNIFER ANN GRAMZOW (PHD)?
JENNIFER ANN GRAMZOW (PHD) is associated with Troy, Michigan in the same public data insurers reference.
Can I export JENNIFER ANN GRAMZOW (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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