Active NPI
Stephanie Grella, M.A.
- School Psychologist
- Bowmansville, NY
National Provider Identifier
1235433095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- CERTIFICATION1078548
- Practice address
- 5360 Genesee St
Bowmansville, NY 14026-1044 - Phone
- (716) 783-3151
- NPI assigned
- Jan 7, 2011
- Last updated
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CERTIFICATION1078548 | NY | Primary |
Addresses
Primary practice location
5360 Genesee St
Bowmansville, NY 14026-1044
Mailing address
5360 Genesee St
Bowmansville, NY 14026-1044
Phone (716) 783-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERTIFICATION1078548 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway-Longview Therapeutic Preschool | Past | Accepting new patients | |
| Gateway-Longview, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Bowmansville, NY
- NPI 1770886129
-
- Developmentally Disabled Services Day Training Agency
- Bowmansville, NY
- NPI 1841593332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1235433095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5360 GENESEE ST",
"city": "BOWMANSVILLE",
"state": "NY",
"postal_code": "140261044",
"telephone_number": "716-783-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5360 GENESEE ST",
"city": "BOWMANSVILLE",
"state": "NY",
"postal_code": "140261044",
"telephone_number": "716-783-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRELLA",
"first_name": "STEPHANIE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "CERTIFICATION1078548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowmansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.