Tina Grossman, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TINA GROSSMAN, LLC

Practice address

3510 Silverside Rd Ste 2
Wilmington, DE 19810-4937

Phone

(484) 416-4485

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Tina Grossman, NPNPI 1386198273

Title

Owner

Phone

(302) 540-2424

Specialties & licenses 1

Addresses

Other names 1

• Goodwellness Doing business as

Practitioners 1

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

• Tina Marie Grossman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1386198273
  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1154074714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HILTON RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104324",
            "telephone_number": "302-540-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 SILVERSIDE RD STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104937",
            "telephone_number": "484-416-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA GROSSMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-540-2424",
        "authorized_official_credential": "NP"
    },
    "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": [
        {
            "organization_name": "Goodwellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodwellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Tigani IV, D.D.S.
• Kudirat Tikare-Fakoya, APRN
• Alan Tillotson, L.AC.
• Naixin Hu Tillotson, L.AC.
• Rachel Marie Timlin
• Helen Page Ting, MD
• Lydia Tipton, OTR/L
• Mackenzie Kay Titus
• TLC Management (Delaware Valley), LLC
• TMS Neurohealth Delaware LLC

• Psychiatric/Mental Health Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.