Organization Active NPI

John Grbac, Psy.D., P.L.

  • Clinical Child & Adolescent Psychologist
  • Orlando, FL
National Provider Identifier
1205172046
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY5713 Issued in FL
Legal business name
JOHN GRBAC, PSY.D., P.L.
Practice address
1630 Hillcrest St
Orlando, FL 32803-4810
Phone
(407) 447-5437
Fax
(407) 447-4543
NPI assigned
Dec 26, 2012
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. John Grbac, PSY.D.NPI 1619908522
Title
Owner/Psychologist
Phone
(407) 447-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY5713 FL Primary

Addresses

Primary practice location

1630 Hillcrest St
Orlando, FL 32803-4810

Mailing address

1630 Hillcrest St
Orlando, FL 32803-4810
Phone (407) 447-5437

National Provider Directory

National Provider Directory
Tax ID family
John Grbac PSYD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1205172046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034810",
            "telephone_number": "407-447-5437",
            "fax_number": "407-447-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034810",
            "telephone_number": "407-447-5437",
            "fax_number": "407-447-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GRBAC, PSY.D., P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "GRBAC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-447-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY5713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.