NICKHOLAS GRANT PH.D
NPI 1336967264
Psychologist - Clinical in Orange, CT
About Nickholas Grant Ph.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKHOLAS GRANT PH.D (NPI 1336967264) is an individual clinical provider in Orange, Connecticut, licensed in Connecticut (4836) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Nickholas Grant Ph.d 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.
Medicare Billing Reassignment
Medicare enrollment records show Nickholas Grant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cheshire, CT 06410
- Reassigned Medicare billing, Connecticut enrollment
- 30 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06477 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nickholas Grant's NPI number?
The NPI number for Nickholas Grant is 1336967264. It was assigned to this individual provider in the NPPES registry on September 30, 2024.
Where is Nickholas Grant located?
Nickholas Grant practices at 6222 Avalon Dr W, Orange, CT 06477. The listed phone number is (203) 701-6047.
What is Nickholas Grant's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Nickholas Grant enrolled in Medicare?
Yes. Nickholas Grant 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 organization bills Medicare for Nickholas Grant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nickholas Grant reassigns Medicare benefits to Northeast Neuropsychology, LLC (Cheshire, CT). The 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 Nickholas Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nickholas Grant was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nickholas Grant, PH.D · NPI 1336967264
Clinical provider in Orange, Connecticut. Individual provider, active in the CMS NPPES registry since September 30, 2024.
## Identity
- **NPI:** 1336967264 (Entity type: Individual)
- **Enumerated:** September 30, 2024
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 4836 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 6222 AVALON DR W, Orange, CT 06477-3684
- **Phone:** (203) 701-6047
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northeast Neuropsychology, LLC (NPI 1396991956, Cheshire, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336967264) · Data from the CMS NPPES public registry.