Mark Groubert

Primary specialty

Poetry TherapistTaxonomy code 102X00000X

License

60549 Issued in CA

Practice address

5675 W Olympic Blvd
Los Angeles, CA 90036-4712

Phone

(323) 965-1365

NPI assigned

Oct 18, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124539069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N VERMONT AVE APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364712",
            "telephone_number": "323-965-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 N Vermont Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900271930",
            "country_code": "US",
            "telephone_number": "323-316-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROUBERT",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": "CA",
            "license": "60549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADT-1",
            "identifier": "60549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R. Grossman, MD
• Abraham Hershel Grosswasser, D.C.
• Margaret C Grosvenor, MPH, RD, CHES
• Karolina Grotkowski Reed, PHD
• Laurie Grotstein, LMFT
• Ira Kenneth Grove, M.D.
• Sarah Grove, LVN
• Sophie Ione Grove
• Thomas M Grove, MD
• Hannah Groveman

• Poetry Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Poetry Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.