Active NPI
Grossman & Grossman LTD
- Community/Behavioral Health Agency
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GROSSMAN & GROSSMAN LTD
- Practice address
- 1707 W Saint Marys Rd Ste 245
Tucson, AZ 85745-2616 - Phone
- (602) 468-2077
- NPI assigned
- Feb 4, 2016
- Last updated
- Aug 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyllis Grossman, LPC
- Title
- Administrative Director
- Phone
- (602) 410-6635
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1707 W Saint Marys Rd Ste 245
Tucson, AZ 85745-2616
Mailing address
PO Box 14948
Scottsdale, AZ 85267-4948
Phone (602) 410-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157514 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Casa Grande, AZ
- NPI 1104285964
O20120705000176
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1245679620
O20120705000176
-
- Community/Behavioral Health Agency
- Gilbert, AZ
- NPI 1851711840
O20120705000176
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Phoenix, AZ
- NPI 1972656296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1073971057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14948",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852674948",
"telephone_number": "602-410-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 W SAINT MARYS RD STE 245",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452616",
"telephone_number": "602-468-2077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROSSMAN & GROSSMAN LTD",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-04",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "GROSSMAN",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "602-410-6635",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157514",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.