Organization Active NPI

Joel Grossbard

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
National Provider Identifier
1265828578
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
60309240 Issued in WA
Legal business name
JOEL GROSSBARD
Practice address
333 NE 58TH St
Seattle, WA 98105-2714
Phone
(206) 947-0152
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dr. Joel R Grossbard, PH.D.
Title
Psychologist
Phone
(206) 947-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 60309240 WA Primary

Addresses

Primary practice location

333 NE 58TH St
Seattle, WA 98105-2714

Mailing address

333 NE 58TH St
Seattle, WA 98105-2714
Phone (206) 947-0152

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1265828578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NE 58TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052714",
            "telephone_number": "206-947-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NE 58TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052714",
            "telephone_number": "206-947-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL GROSSBARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "GROSSBARD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-947-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "60309240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.