Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053485821 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Gerard Grandy , PhD

Psychologist • Omaha, NE

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Grandy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2006
NPI Deactivation Date July 10, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Grandy, PhD was a registered Psychologist practicing in Omaha, NE. Throughout an active medical career spanning 19 years, Dr. Grandy provided care at the practice location at 11043 PRAIRIEBROOK RD until profile deactivation on 2025-07-10.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11043 Prairiebrook Rd

Omaha, NE 68144

Telephone 4023014587
Fax 4024458892

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
151 Specialists

Practicing in Omaha, NE (390 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
102 12 $175.00 $97.70
90837 Psychotherapy, 60 minutes
91 13 $246.70 $143.37

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NE 95

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
⚠️
NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

📍
Updated Practice Location April 09, 2019

Registered at 706 N. 129TH STREET, SUITE 114, OMAHA, NE 68154 (Tel: 4023014587)

📍
Updated Business Mailing Address April 09, 2019

Registered at 13414 EAGLE RUN DRIVE, OMAHA, NE 68164 (Tel: 4013014587)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11043 PRAIRIEBROOK RD, OMAHA, NE 68144 (Tel: 4023014587)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13414 EAGLE RUN DR, OMAHA, NE 681642478 (Tel: 4024459856)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS GRANDY, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #95 in NE)

🟢
Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Thomas Grandy. Be the first to share your experience!

Sign in to leave a review for Dr. Thomas Grandy

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053485821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Deactivation Date: July 10, 2025

Mailing Address

13414 Eagle Run Dr

Omaha, NE 681642478

Phone: 4024459856

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.