Mitzie Grant, PHD.
NPI 1063453439 · Clinical Neuropsychologist · Philadelphia, PA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitzie Grant, PHD. is a Clinical Neuropsychologist provider in Philadelphia, PA (NPI 1063453439).
Provider details
- NPI number
- 1063453439
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD.
- Sex
- Female
- Sole proprietor
- No
- License
- PS008501L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2016-08-31
Frequently asked questions
- What is Mitzie Grant's NPI number?
- Mitzie Grant's National Provider Identifier (NPI) is 1063453439, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitzie Grant's specialty?
- Mitzie Grant is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Mitzie Grant located?
- Mitzie Grant's practice location on file with NPPES is 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343.
- What is Mitzie Grant's phone number?
- The practice phone number listed in the NPPES registry for Mitzie Grant is (215) 831-4811.
- Does Mitzie Grant accept Medicare?
- Mitzie Grant is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitzie Grant's NPI active?
- Yes — Mitzie Grant's NPI (1063453439) is active in the NPPES registry as of the last update on 2016-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.