Gillian Grannum, PHD
NPI 1407292162ActiveIndividual· Psychologist, Clinical· Ephrata, PA
Psychologist, Clinical (PHD) with Philhaven, practicing in Ephrata, Pennsylvania. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1407292162 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | May 21, 2013 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PS018690 | PA |
| Psychologist | 103T00000X | PS018690 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (PA) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- PhilhavenEphrata, PA · 92 clinicians
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