Amanda Lea Grodewald-Adler, PSY.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

P77977 Issued in NY

Practice address

33 Walt Whitman Rd Ste 240W
Huntington Station, NY 11746-3640

Phone

(631) 533-2708

NPI assigned

Oct 29, 2010

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amanda Grodewald-Adler, Psy.D., PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington Station, NY
  • NPI 1154820553
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1144520768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MIDDLE COUNTRY RD",
            "address_2": "SUITE 308",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117205601",
            "telephone_number": "631-209-5343",
            "fax_number": "631-648-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 240W",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463640",
            "telephone_number": "631-533-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODEWALD-ADLER",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "P77977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300066521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collene Greco, N.P.
• Rebecca Bracha Green, LMSW
• Tina Greenbaum, LCSW
• Lucille Marie Grello
• David Groden
• Katherine Grudens
• Robert Grzesiak, O.D.
• Elisa Marie Guerriere
• Nadege Guirand, LPN
• Tuesday N Gundersen

• Cognitive & Behavioral Psychologist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.