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ANN D GRACER PHD
NPI 1063407054
Psychologist - Group Psychotherapy in Fresh Meadows, NY

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
6724 165TH ST, FRESH MEADOWS, NY 11365(718) 463-4640(718) 463-4655 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ann D Gracer Phd NPPES

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

ANN D GRACER PHD (NPI 1063407054) is an individual group psychotherapy provider in Fresh Meadows, New York, licensed in New York (01778) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1063407054
Entity TypeIndividualFemale
Primary Taxonomy103TP2701X
Provider Legal NameANN D GRACERCredential: PHD
Location Address6724 165TH STFresh Meadows, NY 11365-3204
Mailing Address6724 165th StFresh Meadows, NY 11365-3204 · (718) 463-4640 · Fax (718) 463-4655
Phone(718) 463-4640
Fax(718) 463-4655
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 15, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1063407054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
License✔ Licensed in NY · 01778
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Also ListedPsychologistTaxonomy 103T00000X · License 01778 (NY)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 01778 (NY)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 01778 (NY)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 01778 (NY)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 01778 (NY)
Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X · License 01778 (NY)
6724 165TH ST, Fresh Meadows, NY 11365
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Other Identifiers 2

Medicaid01413547NY
Other179302NY · Mhn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ann D Gracer 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 ID3971543604
PECOS Enrollment IDI20050511000962
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.

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 Ann Gracer's NPI number?

The NPI number for Ann Gracer is 1063407054. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Ann Gracer located?

Ann Gracer practices at 6724 165th St, Fresh Meadows, NY 11365. The listed phone number is (718) 463-4640.

What is Ann Gracer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Is Ann Gracer enrolled in Medicare?

Yes. Ann Gracer 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.

When was this NPI record last updated?

The NPPES record for Ann Gracer was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.