Organization Active NPI

Lee Ann Grisolano PHD PC

  • Psychologist
  • Hershey, PA
National Provider Identifier
1093042277
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS009033L Issued in PA
Legal business name
LEE ANN GRISOLANO PHD PC
Practice address
405 E Chocolate Ave
2ND Floore
Hershey, PA 17033-1331
Phone
(717) 533-2601
NPI assigned
Nov 10, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Melissa R Romanelli
Title
Billing
Phone
(724) 387-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS009033L PA Primary

Addresses

Primary practice location

405 E Chocolate Ave
2ND Floore
Hershey, PA 17033-1331

Mailing address

405 E Chocolate Ave
2ND Floore
Hershey, PA 17033-1331
Phone (717) 533-2601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1093042277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E CHOCOLATE AVE",
            "address_2": "2ND FLOORE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331331",
            "telephone_number": "717-533-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E CHOCOLATE AVE",
            "address_2": "2ND FLOORE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331331",
            "telephone_number": "717-533-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ANN GRISOLANO PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "ROMANELLI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "724-387-2455"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009033L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.