DR. SYDNEY BRYN GRESHAM (PSY.D.) – Psychologist, NPI 1295516557

DR. SYDNEY BRYN GRESHAM (PSY.D.) is a healthcare provider. based in Fort worth, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. The NPI Number for DR. SYDNEY BRYN GRESHAM (PSY.D.) is 1295516557

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. SYDNEY BRYN GRESHAM (PSY.D.)
NPI
1295516557
Phone
Not provided
Address
7801 OAKMONT BLVD STE 101
Enumeration Date
11 October 2023
Last Update Date
12 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137897560
Graduation Year
2023 (3 years ago)
PAC ID
6002317591
Group Practice PAC ID
0749637163
Professional Enrollment ID
I20250827002895
Address ID
TX770632323HO2450XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. SYDNEY BRYN GRESHAM (PSY.D.)

  • 7801 OAKMONT BLVD STE 101

    FORT WORTH, TX 761324242

    Phone:

    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: 2025-08-27

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
I20250827002895IClinical PsychologistTXTBD

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 76132)

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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: 0749637163View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical PsychologistTX
Clinical Social WorkerTX
Mental Health CounselorTX
Clinical PsychologistIL
Clinical PsychologistTX
Clinical PsychologistTX
Clinical Social WorkerTX
Clinical PsychologistTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

How do payers reference DR. SYDNEY BRYN GRESHAM (PSY.D.)?
For DR. SYDNEY BRYN GRESHAM (PSY.D.), use NPI 1295516557 as the unique 10-digit identifier.
Would DR. SYDNEY BRYN GRESHAM (PSY.D.) appear as active to a payer?
You can treat DR. SYDNEY BRYN GRESHAM (PSY.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. SYDNEY BRYN GRESHAM (PSY.D.)?
DR. SYDNEY BRYN GRESHAM (PSY.D.) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SYDNEY BRYN GRESHAM (PSY.D.) located near Fort Worth?
DR. SYDNEY BRYN GRESHAM (PSY.D.) currently maps to Fort Worth, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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