DR. SUSAN L. GRAND PHD
NPI 1396969937
Psychologist - Clinical in Teaneck, NJ

Q: What is Susan Grand's NPI number?

The NPI number for Susan Grand is 1396969937. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Dr. Sue Grand Phd.

Q: What is Susan Grand's specialty?

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

Q: Is Susan Grand enrolled in Medicare?

No. Susan Grand has opted out of Medicare through October 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Grand was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 April 13, 2007Opted out of Medicare · through Oct 18, 2026

764 WENDEL PL, TEANECK, NJ 07666(201) 692-8310 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Sep 22, 2024 (2 updates tracked since 2024).

On this page

About Dr. Susan L. Grand Phd NPPES

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

DR. SUSAN L. GRAND PHD (NPI 1396969937) is an individual clinical provider in Teaneck, New Jersey, licensed in New York (335100187100) and active in the NPI registry since April 2007. She has opted out of Medicare through October 18, 2026.

NPPES Registry Identity

NPI1396969937

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSAN L. GRANDCredential: PHD

Location Address764 WENDEL PLTeaneck, NJ 07666-2161

Mailing Address764 Wendel PlTeaneck, NJ 07666-2161 · (201) 723-9424

Phone(201) 692-8310

Sole ProprietorYes

Enumeration DateApril 13, 2007

Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1396969937 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 NY · 335100187100

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.

764 WENDEL PL, Teaneck, NJ 07666

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Sue Grand Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan L. Grand Phd 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 18, 2024 through October 18, 2026.

Opt-Out Effective DateOctober 18, 2024

Opt-Out In Effect ThroughOctober 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Susan Grand's NPI number?

The NPI number for Susan Grand is 1396969937. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Dr. Sue Grand Phd.

Where is Susan Grand located?

Susan Grand practices at 764 Wendel Pl, Teaneck, NJ 07666. The listed phone number is (201) 692-8310.

What is Susan Grand's specialty?

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

Is Susan Grand enrolled in Medicare?

No. Susan Grand has opted out of Medicare through October 18, 2026. 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 Susan Grand was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.