Chad Hunter Grossman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026094 Issued in NY

Practice address

205 Ken Pratt Blvd Ste 120-1005
Longmont, CO 80501-8993

Phone

(215) 262-6937

NPI assigned

Feb 2, 2016

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Els for Autism Foundation

  • Behavior Analyst
  • Jupiter, FL
  • NPI 1336522515

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1033577275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 KEN PRATT BLVD STE 120-1005",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018993",
            "telephone_number": "215-262-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 KEN PRATT BLVD STE 120-1005",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018993",
            "telephone_number": "215-262-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "CHAD",
        "middle_name": "HUNTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16099",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103190400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04513879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Grosman, D.C.
• Elly Taylor Gross
• Kelsey Gross, PA
• Lauren Michelle Grosse, PA-C
• Cassandra Grossman
• Group Platine Professional LLC (Radiance Dental Group)
• Gillian Grunkemeyer, PHARMD
• Ryan Allen Gum, D.P.T.
• Jessica Lauren Guter, DMD
• Bryan Gutierrez Miranda

• Speech-Language Pathologist in Longmont, CO
• Providers in Longmont, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.