Paul Henry Groenewal, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100494500 Issued in NJ

Practice address

356 Franklin Ave
Floor 2 (Groenewal)
Wyckoff, NJ 07481-1980

Phone

(551) 206-2479

NPI assigned

Dec 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspire WellnessGroup PAC ID 0648519827, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inspire Wellness

  • Clinical Neuropsychologist
  • Glen Rock, NJ
  • NPI 1770064289
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1083950471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 FRANKLIN AVE",
            "address_2": "FLOOR 2 (GROENEWAL)",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811980",
            "telephone_number": "551-206-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 FRANKLIN AVE",
            "address_2": "FLOOR 2 (GROENEWAL)",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811980",
            "telephone_number": "551-206-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENEWAL",
        "first_name": "PAUL",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019231",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100494500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruchi Goswami
• Gail Joan Gozza, LCSW
• Jennifer Maria Graf, P.T.
• Samantha Granite
• Alexander Grant, MD
• Divya Gupta-Torres, LCSW
• Jennifer Gutierrez, BCBA
• Cheryl Habersaat, LCSW
• Brooke Hagedoorn, CCC-SLP
• Sara Heerema, LCSW

• Clinical Psychologist in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.