Nancy Perkins Grossman, DO
Individual provider Active NPI Psychiatry Physician · Hernando, FL
NPI 1154472330 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1154472330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 25MB04084200 (NJ)
- Practice address
- 1390 W Double Eagle CT
Hernando, FL 34442-6240 - Phone
- (352) 746-1776
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2229 | WV | MD | Mental Health Counselor |
| 25MB04084200 | NJ | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MB04084200 | NJ | Yes |
Addresses
Primary practice location
1390 W Double Eagle CT
Hernando, FL 34442-6240
Mailing address
1390 W Double Eagle CT
Hernando, FL 34442-6240
Phone (352) 746-1776
Other providers in Hernando, FL
- James Gage
- John Gibson
- Debra E Graham
- Brianne Gray
- Greg Brown LMT, Inc
- Guru Healthcare, LLC
- H2 Rehabilitation Services of Florida LLC
- Veronica Jane Harper
- Healthy Bodies PLLC
- Sabrina Hensley
All providers in Hernando, FL · Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.