Mary Jeanne Groesbeck, DNSC, ARNP, CS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP3135372 Issued in FL

Practice address

2385 NW Executive Center Dr
Ste 100
Boca Raton, FL 33431-8579

Phone

(561) 350-3644

Fax

(561) 245-7374

NPI assigned

Oct 3, 2006

Last updated

Jan 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Jeanne Vellela Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1275628760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 NW EXECUTIVE CENTER DR",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318579",
            "telephone_number": "561-350-3644",
            "fax_number": "561-245-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 NW EXECUTIVE CENTER DR",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318579",
            "telephone_number": "561-350-3644",
            "fax_number": "561-245-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROESBECK",
        "first_name": "MARY JEANNE",
        "name_prefix": "Dr.",
        "credential": "DNSC, ARNP, CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP3135372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303903000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JEANNE",
            "last_name": "VELLELA",
            "credential": "DNSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wayne Brian Grimm Sr., DC
• Maria Grish, LMHC
• Deborah P. Griswold, ARNP
• Roxanne Lyn Grobbel, J.D., L.C.S.W.
• Lindsay Haas Grobstein
• Jane Esther Groman, D.C.
• Allan David Gross, D.D.S.
• Brian Howard Gross, D.D.S
• Jeffrey D Gross, M.D.
• Layton Gross

• Psychiatric/Mental Health Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.