Mg Therapeutic Services LLC
NPI 1578971750ActiveOrganization· Psychologist, Clinical· Media, PA
Psychologist, Clinical in Media, Pennsylvania, registered in NPPES in July 2014. The authorized official on file is Marc Gramatges, PSYD, Neuropsychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578971750 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2014 |
| Last updated in NPPES | Oct 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PS017448 | PA |
| Clinical Neuropsychologist | 103G00000X | PS017448 | PA |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | PS017448 | PA |
| Psychologist, Rehabilitation | 103TR0400X | PS017448 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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