Jaime Grodzinski

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1903 Issued in PR

Practice address

San Juan Health Ctr
150 De Diego Ave Suite 710
Santurce, PR 00907-2300

Phone

(787) 724-5831

Fax

(787) 724-5109

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Administracion de Servicios de Salud Mental Y Contra la Adiccion

  • Psychiatric Hospital
  • San Juan, PR
  • NPI 1598750192
  NPD (past)
• Administracion de Servicios de Salud Mental Y Contra la Adiccion

  • Methadone Clinic
  • Aguadilla, PR
  • NPI 1982732095
  NPD (past)
• Hospital de Pquiatria Forense de Rio Piedras

  • Addiction (Substance Use Disorder) Psychologist
  • San Juan, PR
  • NPI 1134115587
  NPD (past)
• Ponce Medical School Foundation Inc

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1043208804
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1063466258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN JUAN HEALTH CTR",
            "address_2": "150 DE DIEGO AVE SUITE 710",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-724-5831",
            "fax_number": "787-724-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN HEALTH CTR",
            "address_2": "150 DE DIEGO AVE SUITE 710",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-724-5831",
            "fax_number": "787-724-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODZINSKI",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Gonzalez
• Sandy Gonzalez
• Martin I Gorrochategui
• Jose A Gratacos, F.A.C.O.G
• Griupo Medico Especializado
• Carmen Margarita Gurrea, M.D.
• Health Laboratories Services Inc
• Hera Ginecologia Y Obstetricia
• Rafael Lacomba Hernandez, MD
• Ritzel M. Hidalgo, PT, DPT, ATRIC

• Clinical Psychologist in Santurce, PR
• Providers in Santurce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.