OrganizationActive
The Grant Clinic, LLC
NPI 1235466996 · Addiction Medicine (Anesthesiology) Physician · Phoenix, AZ
Provider details
- NPI number
- 1235466996
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Grant, President(602) 327-0184
- License
- 1609 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
14640 N Tatum Blvd Ste 7
Phoenix, AZ 85032-4824
Phone: (602) 327-0184
Fax: (602) 358-8063
Street-level locationGet directions
Mailing address
Po Box 45379
Phoenix, AZ 85064-5379
Registry dates
- Enumerated
- 2009-11-17
- Last updated
- 2009-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.