Individual provider Active NPI

Bernadette Grosjean, M.D.

  • Psychiatry Physician
  • Santa Monica, CA
National Provider Identifier
1114992146
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A84221 Issued in CA
Practice address
156 Wadsworth Ave
Santa Monica, CA 90405-3510
Phone
(213) 840-7439
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A84221 CA Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 321577 NY

Addresses

Primary practice location

156 Wadsworth Ave
Santa Monica, CA 90405-3510

Mailing address

156 Wadsworth Ave
Santa Monica, CA 90405-3510
Phone (213) 840-7439

Other practice location 1

83 Stewart Rd
Berne, NY 12023-4316
Phone (213) 840-7439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103001160 CA Practitioner - Psychiatry 0042238503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
321577NYMDBehavioral Neurology & Neuropsychiatry Physician
A84221CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince Jan 6, 2010 Accepting new patients
Special Service for Groups, Inc. CurrentSince Jan 6, 2010 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients
Harbor-UCLA Medical Foundation, Inc Past Accepting new patients

Locations

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1114992146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WADSWORTH AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053510",
            "telephone_number": "213-840-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WADSWORTH AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053510",
            "telephone_number": "213-840-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Stewart Rd",
            "address_purpose": "LOCATION",
            "city": "Berne",
            "state": "NY",
            "postal_code": "120234316",
            "country_code": "US",
            "telephone_number": "213-840-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSJEAN",
        "first_name": "BERNADETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84221",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "321577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.