Organization Active NPI

Amanda Grodewald-Adler, Psy.D., PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington Station, NY
National Provider Identifier
1154820553
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
019388 Issued in NY
Legal business name
AMANDA GRODEWALD-ADLER, PSY.D., PLLC
Practice address
33 Walt Whitman Rd Ste 240W
Huntington Station, NY 11746-3640
Phone
(631) 209-5343
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Amanda Lea Grodewald-Adler, PSY.D.NPI 1144520768
Title
Psychologist
Phone
(631) 209-5343

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 019388 NY Primary

Addresses

Primary practice location

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

Mailing address

33 Walt Whitman Rd Ste 240W
Huntington Station, NY 11746-3640
Phone (631) 209-5343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180814002073 NY Part B Supplier - Clinic/Group Practice 7517216252 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Station, NY

National Provider Directory

National Provider Directory

Locations

1919 Middle Country Rd
Ste 308
Centereach, NY 11720
Phone (631) 209-5343

33 Walt Whitman Rd
Ste 240W
Huntington Station, NY 11746
Phone (631) 209-5343

Practitioners & affiliated clinicians

Practitioners 2

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1154820553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 240W",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463640",
            "telephone_number": "631-209-5343"
        },
        {
            "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": "631-209-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA GRODEWALD-ADLER, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "GRODEWALD-ADLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-209-5343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "019388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.