DR. ANNA GRAEFE (NPI# 1801313069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801313069 |
| Entity Type | Individual |
| Full Name | DR. ANNA GRAEFE |
| Credential | PHD |
| Practice Address |
909 Walnut St Fl 2 Philadelphia PA 19107-5211 |
| Practice Telephone | 2159551234 |
| Practice Fax Number | 2155036792 |
| Mailing Telephone | 2159551234 |
| Mailing Fax Number | 2159236792 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS018324 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PSYCHOLOGY LICENSE | PS018324 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Crescent Dr Fl 3, Philadelphia, PA 191121016 | 2155033321 | 2155037160 |
| Street Address |
909 WALNUT ST FL 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629132006 | Srinivas Kasinadhuni Prasad | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2006-12-20 |
| 1790390813 | Methodist Associates In Healthcare, Inc | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-09-15 |
| 1164046959 | Karim Basem Kareem Hafazalla | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-06-08 |
| 1578192175 | Dwight Mitchell Self II | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-04-06 |
| 1992334734 | Steven Robert Glener | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-04-03 |
| 1881236651 | Mary Kate Maloney | Nurse Practitioner | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2019-10-14 |
| 1073179461 | Evan Monroe Fitchett | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2019-05-12 |
| 1932662012 | Carrie Elizabeth Andrews | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2019-04-07 |
| 1134615388 | Abigail Christine Lyon | Clinical Neuropsychologist | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2018-07-10 |
| 1730670597 | Karina Vladimirovna Burda | Psychiatry & Neurology | 909 Walnut St Fl 2, Philadelphia, PA 19107 | 2018-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1609228022 | Michael E. Keesler | Clinical Neuropsychologist | 77 Rochelle Ave, Philadelphia, PA 19128-3809 | 2016-07-09 |
| 1023463106 | Chelsea Black | Clinical Neuropsychologist | 3405 Civic Center Blvd Rm 107, Philadelphia, PA 19104-4319 | 2016-04-26 |
| 1285088914 | Megan Alana Perrin | Clinical Neuropsychologist | 1510 Manton St, Philadelphia, PA 19146-3129 | 2016-04-19 |
| 1104207190 | Kelly M. Janke | Clinical Neuropsychologist | 3501 Civic Center Blvd # 10209, Philadelphia, PA 19104-3820 | 2015-06-15 |
| 1861637381 | Dr. Shan Psychiatry Clinic LLC | Clinical Neuropsychologist | 756 Adams Ave, Philadelphia, PA 19124-2330 | 2008-12-12 |
| 1225184468 | Cornelius Furgueson | Clinical Neuropsychologist | 1801 Vine St, Room 149-mg, Philadelphia, PA 19103-1117 | 2007-01-27 |
| 1588711006 | Diversified Psychological Resources, P.C. | Clinical Neuropsychologist | 230 S. Broad St., Suite 1005, Philadelphia, PA 19102-4105 | 2007-01-05 |
| 1407879430 | Carol L Armstrong | Clinical Neuropsychologist | 100 N 20th St, Philadelphia, PA 19103-1443 | 2006-07-25 |
| 1558381251 | Edward A Maitz | Clinical Neuropsychologist | 117 S 17th St, Suite 1700, Philadelphia, PA 19103-5025 | 2006-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on DR. ANNA GRAEFE.
| 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.