Burt B. Grenell, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

789001554 Issued in DC

Practice address

1226 31St St NW
Washington, DC 20007-3402

Phone

(202) 337-2999

NPI assigned

Aug 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250899200000",
    "number": "1144452244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107G ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442708",
            "telephone_number": "703-536-7554",
            "fax_number": "703-536-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 31ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073402",
            "telephone_number": "202-337-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENELL",
        "first_name": "BURT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-22",
        "last_updated": "2009-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "789001554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Lynn Gregson, MPH, RD, LD
• Nicolas Greige, MD, MSC
• Maria Elise Greissing, NP
• Natalia Grekova, M.D.
• Gilda-Rae Grell, MD
• Jerique Cortez Greogry
• Shelia Renee Gresham
• Erik Gretzmacher, CRNA
• Joan F. Grew, N.P.
• Amrita Grewal

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; 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.