Active NPI
James A Grubman, PH.D.
- Clinical Psychologist
- Turners Falls, MA
National Provider Identifier
1013901651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7419
- Practice address
- 356 Montague City Rd
Suite 100
Turners Falls, MA 01376-1830 - Phone
- (413) 775-0557
- NPI assigned
- Sep 9, 2005
- Last updated
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7419 | MA | Primary |
Addresses
Primary practice location
356 Montague City Rd
Suite 100
Turners Falls, MA 01376-1830
Mailing address
356 Montague City Rd
Suite 100
Turners Falls, MA 01376-1830
Phone (413) 775-0557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W05794 | Other | MA | BCBSMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7419 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1013901651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 MONTAGUE CITY RD",
"address_2": "SUITE 100",
"city": "TURNERS FALLS",
"state": "MA",
"postal_code": "013761830",
"telephone_number": "413-775-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 MONTAGUE CITY RD",
"address_2": "SUITE 100",
"city": "TURNERS FALLS",
"state": "MA",
"postal_code": "013761830",
"telephone_number": "413-775-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBMAN",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "W05794",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Turners Falls, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.