| Connie Denise Graber, PSYD | |
|
900 Douglas Pike Ste 220, Smithfield, RI 02917-1879 | |
| (401) 785-0040 | |
| (401) 941-7847 |
| Full Name | Connie Denise Graber |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 28 Years |
| Location | 900 Douglas Pike Ste 220, Smithfield, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447222997 | NPI | - | NPPES |
| 40M62SW | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 92411422904 | Other | MN | PRIMEWEST |
| P396 | Other | SD | DAKOTACARE |
| 0008183 | Other | SD | BLUE CROSS |
| 1402466 | Other | SD | ARAZ/ AMERICA'S PPO |
| 231488 | Other | SD | MIDLANDS CHOICE |
| 25924 | Other | SD | SANFORD HEALTH PLAN |
| 769191028797 | Other | SD | PREFERRED ONE |
| HP35188 | Other | SD | HEALTHPARTNERS |
| 6551770 | Medicaid | SD | |
| 57108D007 | Other | SD | WPS TRICARE |
| 680014064 | Other | SD | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 396 (South Dakota) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS02334 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 927 |
| Child And Family Psychiatry, Inc. | 5294173464 | 56 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Denise Graber, PSYD 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () - | Connie Denise Graber, PSYD 900 Douglas Pike Ste 220, Smithfield, RI 02917-1879 Ph: (401) 785-0040 |
Michelle L Ryan, M.A., C.A.G.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 49 Farnum Pike, Smithfield, RI 02917 Phone: 401-231-6606 Fax: 401-232-0870 |