Active NPI
Shaundeep Singh Grewal, LMFT
- Marriage & Family Therapist
- Bakersfield, CA
National Provider Identifier
1104336353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 114947
- Practice address
- 7800 Niles St
Bakersfield, CA 93306-4922 - Phone
- (661) 328-4284
- Fax
- (661) 616-9977
- NPI assigned
- Oct 2, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 114947 | CA | Primary |
Addresses
Primary practice location
7800 Niles St
Bakersfield, CA 93306-4922
Mailing address
7800 Niles St
Bakersfield, CA 93306-4922
Phone (661) 328-4284
Other practice location 1
3105 Wilson Rd
Bakersfield, CA 93304-5319
Phone (661) 397-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114947 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1104336353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 NILES ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064922",
"telephone_number": "661-328-4284",
"fax_number": "661-616-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 NILES ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064922",
"telephone_number": "661-328-4284",
"fax_number": "661-616-9977"
}
],
"practiceLocations": [
{
"address_1": "3105 Wilson Rd",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933045319",
"country_code": "US",
"telephone_number": "661-397-8775",
"fax_number": "661-397-8286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREWAL",
"first_name": "SHAUNDEEP",
"middle_name": "SINGH",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-02",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.