Active NPI
Amanda Grodewald-Adler, Psy.D., PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huntington Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 019388
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cognitive & Behavioral Psychologist
- Huntington Station, NY
- NPI 1144520768
-
- Cognitive & Behavioral Psychologist
- Centereach, NY
- NPI 1124346689
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.