GILLIAN GRANNUM PHD
NPI 1407292162
Psychologist - Clinical in Ephrata, PA

Q: What is Gillian Grannum's NPI number?

The NPI number for Gillian Grannum is 1407292162. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Gillian Grannum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gillian Grannum was last updated on September 16, 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 May 21, 2013PECOS EnrolledAccepts Medicare Assignment

344 N READING RD, EPHRATA, PA 17522(717) 738-1125(717) 738-0606 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Oct 31, 2022, Oct 14, 2022 and 2 more (5 updates tracked since 2016).

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About Gillian Grannum Phd NPPES

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

GILLIAN GRANNUM PHD (NPI 1407292162) is an individual clinical provider in Ephrata, Pennsylvania, licensed in Pennsylvania (PS018690) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ephrata, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407292162

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameGILLIAN GRANNUMCredential: PHD

Location Address344 N READING RDEphrata, PA 17522-1651

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 738-1125

Fax(717) 738-0606

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 21, 2013

Last NPPES UpdateSeptember 16, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1407292162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS018690

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.

Also ListedPsychologistTaxonomy 103T00000X · License PS018690 (PA)

344 N READING RD, Ephrata, PA 17522

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Secondary Practice Location 1

Location 1169 Martin AveEphrata, PA 17522-1724 · Phone (717) 733-0311 · Fax (717) 738-6735

Other Identifiers 3

Medicaid103573403PA

OtherPS018690PA · State License - Psychologist

Other14373031Caqh Id

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

Gillian Grannum Phd 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 ID1355686437

PECOS Enrollment IDI20181218001127

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 17522 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 14

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

ANDREW BOWEN

Psychologist (Clinical)