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NICKHOLAS GRANT PH.D
NPI 1336967264
Psychologist - Clinical in Orange, CT

Active since September 30, 2024PECOS EnrolledAccepts Medicare Assignment
6222 AVALON DR W, ORANGE, CT 06477(203) 701-6047 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1336967264
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameNICKHOLAS GRANTCredential: PH.D
Location Address6222 AVALON DR WOrange, CT 06477-3684
Mailing Address2389 Main St Ste 100Glastonbury, CT 06033-4617
Phone(203) 701-6047
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1336967264 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 CT · 4836
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.
6222 AVALON DR W, Orange, CT 06477
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

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.

PECOS PAC ID4183112105
PECOS Enrollment IDI20251022001436
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.

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.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Nickholas Grant accept?

Health plans from Providence Health Plan list Nickholas Grant 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 Nickholas Grant was last updated on September 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.