Nadav Antebi-Gruszka, PHD, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P13871 Issued in NY

Practice address

49 W 24TH St Ste 1002
New York, NY 10010-3543

Phone

(646) 770-0535

NPI assigned

Oct 31, 2018

Last updated

Jun 11, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Nadav Antebi-Gruszka Mental Health Counseling PLLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1770449795
  NPD Authorized official

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1093282774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FORT WASHINGTON AVE APT 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321310",
            "telephone_number": "607-280-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST STE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103543",
            "telephone_number": "646-770-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 W 13th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117702",
            "country_code": "US",
            "telephone_number": "212-620-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTEBI-GRUSZKA",
        "first_name": "NADAV",
        "name_prefix": "Dr.",
        "credential": "PHD, MHC-LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P13871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shweta Antani, D.O.
• Benjamin John Antar
• Deborah Antar, LCSW
• Jeremy Antar, LCSW
• Madelin Clare Antaya
• Honey Antelis, RPH
• Craig Antell, D.O.
• Darrick E Antell, M.D.
• Leonardo Francisco Antelo, MD
• Todd Joseph Antenucci, D.O.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.