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Dr. Jonathan Bruce Grayson , PhD

Psychologist β€’ Pasadena, CA

Active NPI 1346350378 Individual Practitioner Male Practitioner
Practice location in NPPES

4 E Holly St Ste 219
Pasadena, CA 911034519

Call 6266393994 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4 E Holly St Ste 219

Pasadena, CA 911034519

Telephone 6266393994

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Grayson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pasadena and California

146 active clinicians are listed under Psychologist with a practice address in Pasadena, CA (7,305 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pasadena

5.5% of these 146 clinicians have the CMS telehealth indicator.

11% of these 146 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-20
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES PA PS003671L

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Independence Blue Cross
0049372000 (PA)
Other Identifier Magellan
461698000 (PA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 20, 2021

Registered at 4 E HOLLY ST STE 219, PASADENA, CA 911034519 (Tel: 6266393994)

πŸ“
Updated Business Mailing Address October 20, 2021

Registered at 155 CORDOVA ST UNIT 304, PASADENA, CA 911052749 (Tel: 6104160122)

βœ…
NPI Profile Active January 10, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 10, 2013

Registered at 1845 WALNUT ST, 15TH FLOOR, PHILADELPHIA, PA 191034708 (Tel: 2157357588)

πŸ“
Business Mailing Address (Initial Record) January 10, 2013

Registered at 1845 WALNUT ST, 15TH FLOOR, PHILADELPHIA, PA 191034708 (Tel: 2157357588)

πŸ‘€
Provider Name / Credentials (Initial Record) January 10, 2013

Recorded as JONATHAN GRAYSON, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2013

Psychologist (license number reported to NPPES: PA PS003671L)

🟒
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346350378
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: October 20, 2021
Sole Proprietor: Yes

Other Psychologists in Pasadena

All Psychologists in Pasadena

Mailing Address

155 Cordova St Unit 304

Pasadena, CA 911052749

Phone: 6104160122

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.