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Deactivated NPI 1194739706 Deactivated / Inactive NPI Male Practitioner

Dr. Addison Edward Gradel , EdD

Psychologist • Lubbock, TX

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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. Addison Gradel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2006
NPI Deactivation Date November 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Addison Gradel, EdD was a registered Psychologist practicing in Lubbock, TX. Throughout an active medical career spanning 18 years, Dr. Gradel provided care at the practice location at 5701 AVE P BLDG 9 until profile deactivation on 2024-11-28.

Historical Medicare Part B clinical services included administration of psychological or neuropsychological test, psychiatric diagnostic evaluation, administration of psychological or neuropsychological test, first. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5701 Ave P Bldg 9

Lubbock, TX 794123007

Telephone 8067410713
Fax 8067410797

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.1 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
28 Specialists

Practicing in Lubbock, TX (2266 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.8% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96137 Administration of psychological or neuropsychological test, each additional 30 minutes
53 14 $75.00 $37.45
90791 Psychiatric diagnostic evaluation
16 16 $150.00 $147.60
96136 Administration of psychological or neuropsychological test, first 30 minutes
14 14 $150.00 $40.71
96133 Evaluation of neuropsychological test, each additional hour
14 14 $150.00 $95.52
96132 Evaluation of neuropsychological test, first hour
13 13 $150.00 $125.27

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 24085

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

10 Historical Events
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NPI Profile Deactivated November 28, 2024

Record deactivated on November 28, 2024

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Updated Practice Location March 01, 2023

Registered at 5701 AVENUE P, LUBBOCK, TX 794123674 (Tel: 8067410713)

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Updated Business Mailing Address March 01, 2023

Registered at 5701 AVENUE P, LUBBOCK, TX 794123674 (Tel: 8067410713)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Psychologist (License #6482 in TX)

NPI Profile Active July 20, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2010

Registered at 5701 AVE P BLDG 9, LUBBOCK, TX 794123007 (Tel: 8067410713)

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Updated Business Mailing Address July 20, 2010

Registered at 5701 AVE P BLDG 9, LUBBOCK, TX 794123007 (Tel: 8067410713)

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Provider Name / Credentials Updated July 20, 2010

Recorded as ADDISON GRADEL, ED.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2010

Psychologist (License #24085 in TX)

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Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194739706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: July 20, 2010
Deactivation Date: November 28, 2024

Mailing Address

5701 Ave P Bldg 9

Lubbock, TX 794123007

Phone: 8067410713

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.