DR. GRANT LOREN IVERSON PHD
NPI 1033524913
Clinical Neuropsychologist in Boston, MA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
HOME BASE PROGRAM, 101 MERRIMAC STREET, 2ND FLOOR, BOSTON, MA 02114(617) 573-2770 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Grant Loren Iverson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRANT LOREN IVERSON PHD (NPI 1033524913) is an individual clinical neuropsychologist in Boston, Massachusetts, licensed in Massachusetts (9828) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1993).

NPPES Registry Identity

NPI1033524913
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. GRANT LOREN IVERSONCredential: PHD
Location AddressHOME BASE PROGRAM, 101 MERRIMAC STREET, 2ND FLOORBoston, MA 02114
Mailing AddressHome Base Program, 101 Merrimac Street, 2nd FloorBoston, MA 02114 · (617) 573-2770
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1993
Enumeration DateJune 30, 2014
Last NPPES UpdateJuly 2, 2014
✔ NPI 1033524913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MA · 9828
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 9828 (MA)
HOME BASE PROGRAM, Boston, MA 02114

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Grant Loren Iverson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739306846
PECOS Enrollment IDI20140814000119
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Grant Iverson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
HOME BASE PROGRAM, 101 MERRIMAC STREET, 2ND FLOOR
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
HOME BASE PROGRAM, 101 MERRIMAC STREET, 2ND FLOOR
BOSTON, MA 02114
Psychologist
HOME BASE PROGRAM, 101 MERRIMAC STREET, 2ND FLOOR
BOSTON, MA 02114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Iverson's NPI number?

The NPI number for Grant Iverson is 1033524913. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Grant Iverson located?

Grant Iverson practices at Home Base Program 101 Merrimac Street, 2nd Floor, Boston, MA 02114. The listed phone number is (617) 573-2770.

What is Grant Iverson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Grant Iverson enrolled in Medicare?

Yes. Grant Iverson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Grant Iverson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grant Iverson reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grant Iverson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grant Iverson accept?

Health plans from Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Grant Iverson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grant Iverson was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.