DR. JERRY GRAGG (NPI# 1619309465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619309465 |
Entity Type | Individual |
Full Name | DR. JERRY GRAGG |
Credential | PSY.D. |
Practice Address |
710 29th Ave Tuscaloosa AL 35401-1823 |
Mailing Address |
6374 Woodland Forrest Dr Tuscaloosa AL 35405-5654 |
Practice Telephone | 2053101283 |
Practice Fax Number | 2055533515 |
Mailing Telephone | 2053106856 |
Mailing Fax Number | 2055533515 |
Enumeration Date | 2013-08-04 |
Last Update Date | 2013-08-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
930 | AL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346316205 | Jerry D Gragg | Dentist | 3489 N 76th St, Milwaukee, WI 53222 | 2006-11-24 |
Street Address |
710 29TH AVE |
City | TUSCALOOSA |
State | AL |
Zip Code | 35401-1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
Find all providers in zip 35401 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194094128 | Heath Ryan Patterson | Psychologist | 1301 Jack Warner Pkwy Ne, Tuscaloosa, AL 35404-1060 | 2011-12-20 |
1194004507 | Beverly Elaine Thorn | Psychologist | 505 Hackberry Lane Gordon Palmer Hl Rm 348, Dept. of Psychology, The University of Alabama, Tuscaloosa, AL 35487-0348 | 2011-08-16 |
1982898706 | Bettina Schmid | Psychologist | Center for Mental Health and Aging, The University of Alabama, Tuscaloosa, AL 35487-0001 | 2007-09-05 |
1457572240 | Kathleen Ann Ronan | Psychologist | 2802 7th St, Tuscaloosa, AL 35401-1808 | 2007-05-01 |
1467670885 | The University of Alabama Psychology Clinic | Psychologist | 505 Hackberry Ln, 251a Gordon Palmer, Tuscaloosa, AL 35487-0001 | 2007-04-23 |
1437212289 | Sterling Taylor | Psychologist | 2617 7th Street, Tuscaloosa, AL 35401 | 2006-12-19 |
1811055296 | Howard Lee Miller | Psychologist | 70 Cherokee Hls, Tuscaloosa, AL 35404-4984 | 2006-12-05 |
1003903725 | Beverly Bell-shambley | Psychologist | 2301 14th St, Tuscaloosa, AL 35401-2929 | 2006-10-05 |
1588776702 | Jaana Niinikoski | Psychologist | 2110 Mcfarland Blvd East, Suite F, Tuscaloosa, AL 35404 | 2006-09-01 |
1639189400 | Joseph E Maio | Psychologist | 2110 Mcfarland Blvd E Ste F, Tuscaloosa, AL 35404-5820 | 2006-08-08 |
Find all providers in TUSCALOOSA |
City | TUSCALOOSA |
Zip Code | 35401 |
Please comment or provide details below to improve the information on DR. JERRY GRAGG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.