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TREVOR GRAHAM, PSY.D., LLC
NPI 1114456001
Psychologist - Clinical in Boulder, CO

Active since June 05, 2017
2727 PINE ST STE 9, BOULDER, CO 80302(303) 309-0474 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017 (2 updates tracked since 2017).

About Trevor Graham, Psy.d., Llc NPPES

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

TREVOR GRAHAM, PSY.D., LLC (NPI 1114456001) is a healthcare organization registered as a clinical in Boulder, Colorado and active in the NPI registry since June 2017. The organization lists Trevor Graham, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1114456001
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTREVOR GRAHAM, PSY.D., LLC
Location Address2727 PINE ST STE 9Boulder, CO 80302-3846
Mailing Address2727 Pine St Ste 9Boulder, CO 80302-3846 · (303) 309-0474
Phone(303) 309-0474
Organization SubpartNo
Authorized OfficialTrevor GrahamPsychologist · (303) 309-0474
Enumeration DateJune 5, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1114456001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · 3204
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2727 PINE ST STE 9, Boulder, CO 80302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Trevor Graham, Psy.D., LLC's NPI number?

The NPI number for Trevor Graham, Psy.D., LLC is 1114456001. It was assigned to this organization in the NPPES registry on June 5, 2017.

Where is Trevor Graham, Psy.D., LLC located?

Trevor Graham, Psy.D., LLC is located at 2727 Pine St Ste 9, Boulder, CO 80302. The listed phone number is (303) 309-0474.

What is Trevor Graham, Psy.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Trevor Graham, Psy.D., LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.