NPIMap

Organization Active NPI

Grossman & Grossman LTD

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1184921413
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROSSMAN & GROSSMAN LTD
Practice address
1300 N 12TH St Ste 550
Phoenix, AZ 85006-2820
Phone
(602) 410-6637
Fax
(480) 609-9552
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Mr. Jon Birdell Grossman, LMFTNPI 1164575486
Title
Clinical Supervisor
Phone
(602) 468-2077

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1300 N 12TH St Ste 550
Phoenix, AZ 85006-2820

Mailing address

PO Box 14948
Scottsdale, AZ 85267-4948
Phone (602) 468-2077

National Provider Directory

National Provider Directory
Tax ID family
Grossman Grossman LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2345 E Thomas Rd
Ste 360
Phoenix, AZ 85016
Phone (602) 410-6635

Practitioners & affiliated clinicians

Practitioners 3

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": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1184921413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14948",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852674948",
            "telephone_number": "602-468-2077",
            "fax_number": "480-609-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062820",
            "telephone_number": "602-410-6637",
            "fax_number": "480-609-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMAN & GROSSMAN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "BIRDELL",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "602-468-2077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.