DR. LEE ANN GRISOLANO PH.D.
NPI 1356336713
Clinical Neuropsychologist in Hershey, PA

Q: What is Lee Grisolano's NPI number?

The NPI number for Lee Grisolano is 1356336713. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Lee Grisolano's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Lee Grisolano was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment

500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8414(717) 531-0276 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 10, 2019, Jul 14, 2016 (2 updates tracked since 2016).

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About Dr. Lee Ann Grisolano Ph.d. NPPES

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

DR. LEE ANN GRISOLANO PH.D. (NPI 1356336713) is an individual clinical neuropsychologist in Hershey, Pennsylvania, licensed in Pennsylvania (PS009003L) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1356336713

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. LEE ANN GRISOLANOCredential: PH.D.

Location Address500 UNIVERSITY DRHershey, PA 17033-2360

Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455

Phone(717) 531-8414

Fax(717) 531-0276

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 13, 2005

Last NPPES UpdateApril 10, 20192 updates tracked since enumeration

✔ NPI 1356336713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in PA · PS009003L

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

500 UNIVERSITY DR, Hershey, PA 17033

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Other Identifiers 1

Medicaid0017941350004PA

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

Dr. Lee Ann Grisolano 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 ID7214969120

PECOS Enrollment IDI20050831000342

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL MICHAEL WEISS I PA-C

Physician Assistant

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-7299

NICOLE SWALLOW M.D.

Internal Medicine

500 UNIVERSITY DR, H088
HERSHEY, PA 17033

Dauphin County (717) 531-1692

NEERAV GOYAL M.D.

Otolaryngology

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KARIMA C FITZGERALD M.D.

Surgery (Trauma Surgery)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8887

DR. ANTHONY SIMON BONAVIA M.D.

Anesthesiology (Critical Care Medicine)

500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033

Dauphin County (717) 531-8521

DR. HIROKO SHIKE MD

Pathology (Clinical Pathology/Laboratory Medicine)

500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033

Dauphin County (717) 531-8615

MARIUM TARIQ M.D.

Family Medicine

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KANTHI BANGALORE KRISHNA MBBS

Pediatrics (Pediatric Endocrinology)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (800) 243-1455

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 Lee Grisolano's NPI number?

The NPI number for Lee Grisolano is 1356336713. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Lee Grisolano located?

Lee Grisolano practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8414.

What is Lee Grisolano's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Lee Grisolano enrolled in Medicare?

Yes. Lee Grisolano 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 Lee Grisolano was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.