MISS KELLY MARIE GRANGER PSY.D.
NPI 1164686515
Psychologist in Tustin, CA
About Miss Kelly Marie Granger Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLY MARIE GRANGER PSY.D. (NPI 1164686515) is an individual psychologist in Tustin, California, licensed in California (PSY28523) and active in the NPI registry since July 2008. She has opted out of Medicare through October 1, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Miss Kelly Marie Granger Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSTIN, CA 92780
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 Kelly Granger's NPI number?
The NPI number for Kelly Granger is 1164686515. It was assigned to this individual provider in the NPPES registry on July 15, 2008.
Where is Kelly Granger located?
Kelly Granger practices at 222 W Main St Ste 101, Tustin, CA 92780. The listed phone number is (949) 381-1519.
What is Kelly Granger's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kelly Granger enrolled in Medicare?
No. Kelly Granger has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kelly Granger was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.