Organization Active NPI

Grossman & Grossman, LTD.

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1245719236
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROSSMAN & GROSSMAN, LTD.
Practice address
5929 E Charter Oak Rd
Scottsdale, AZ 85254-4348
Phone
(602) 410-6635
Fax
(480) 609-9552
NPI assigned
Aug 9, 2018
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Phyllis Ann GrossmanNPI 1972656296
Title
Administrative Director
Phone
(602) 410-6635

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

5929 E Charter Oak Rd
Scottsdale, AZ 85254-4348

Mailing address

PO Box 14948
Scottsdale, AZ 85267-4948
Phone (602) 410-6635

Other identifiers 1

IdentifierTypeStateIssuer
542301MedicaidAZ

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1245719236",
    "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": "602-410-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 E CHARTER OAK RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544348",
            "telephone_number": "602-410-6635",
            "fax_number": "480-609-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMAN & GROSSMAN, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "602-410-6635"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542301",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.