Organization Active NPI

Vineyard Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranford, NJ
National Provider Identifier
1124848056
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VINEYARD PSYCHIATRY
Practice address
123 N Union Ave Ste 302
Cranford, NJ 07016-2198
Phone
(908) 738-9185
Fax
(908) 282-3250
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Kathryn Groll, APRNNPI 1336304823
Title
Owner
Phone
(646) 831-1227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

123 N Union Ave Ste 302
Cranford, NJ 07016-2198

Mailing address

5 Summit Rd
Cranford, NJ 07016-1931
Phone (646) 831-1227

National Provider Directory

National Provider Directory

Locations

123 N Union Ave
Ste 302
Cranford, NJ 07016
Phone (908) 292-8017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1124848056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUMMIT RD",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161931",
            "telephone_number": "646-831-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N UNION AVE STE 302",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162198",
            "telephone_number": "908-738-9185",
            "fax_number": "908-282-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "GROLL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-831-1227",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.