Organization Active NPI

Christopher Grieco, Psy.D., P.C.

  • Psychologist
  • Oyster Bay, NY
National Provider Identifier
1235492018
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015617-1 Issued in NY
Legal business name
CHRISTOPHER GRIECO, PSY.D., P.C.
Practice address
212 South St
Oyster Bay, NY 11771-2362
Phone
(516) 384-9032
Fax
(516) 433-0471
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Christopher Edward Grieco, PSY.D.NPI 1598831497
Title
Psychologist
Phone
(516) 384-9032

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 015617-1 NY Primary

Addresses

Primary practice location

212 South St
Oyster Bay, NY 11771-2362

Mailing address

212 South St
Oyster Bay, NY 11771-2362
Phone (516) 384-9032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428000127 NY Part B Supplier - Clinic/Group Practice 7810120987 Receives reassigned benefits from 1 practitioner
Practice locations: Oyster Bay, NY

National Provider Directory

National Provider Directory

Locations

212 South St
Oyster Bay, NY 11771
Phone (516) 384-9032

Practitioners & affiliated clinicians

Practitioners 1

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1235492018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712362",
            "telephone_number": "516-384-9032",
            "fax_number": "516-433-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712362",
            "telephone_number": "516-384-9032",
            "fax_number": "516-433-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER GRIECO, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "GRIECO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-384-9032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015617-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.