Active NPI
Elizabeth Anne Gruenfeld, ED.M.
- Counselor
- Brookline, MA
National Provider Identifier
1104176973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1269 Beacon Street
Trauma Center at Jri
Brookline, MA 02446 - Phone
- (617) 232-1303
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1269 Beacon Street
Trauma Center at Jri
Brookline, MA 02446
Mailing address
1 Warren Court
Salem, MA 01970
Phone (206) 334-6234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1104176973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WARREN COURT",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "206-334-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 BEACON STREET",
"address_2": "TRAUMA CENTER AT JRI",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-232-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUENFELD",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "ED.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.