Active NPI
Seth David Grossman, PSY.D.
- Clinical Psychologist
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 7340
- Practice address
- 2929 N. University Drive
Suite 105
Coral Springs, FL 33065-5047 - Phone
- (954) 434-1886
- Fax
- (954) 699-0337
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | PY 7340 | FL | |
| Clinical Psychologist | 103TC0700X | PY 7340 | FL | Primary |
Addresses
Primary practice location
2929 N. University Drive
Suite 105
Coral Springs, FL 33065-5047
Mailing address
2929 N University Drive
Suite 105
Coral Springs, FL 33065-5047
Phone (954) 434-1886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75511 | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drseth@psych-freedom.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2929 N University Dr
Suite 105
Coral Springs, FL 33065-5047
Phone (954) 434-1886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7340 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Psychological Freedom PA | Current | Accepting new patients |
Locations
2929 N University Dr
Ste 105
Coral Springs, FL 33065
Phone (954) 434-1886
10400 Griffin Rd
Ste 109
Davie, FL 33328
Phone (954) 341-5215
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Coral Springs, FL
- NPI 1699074757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1285750083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 N UNIVERSITY DRIVE",
"address_2": "SUITE 105",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655047",
"telephone_number": "954-434-1886",
"fax_number": "954-699-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 N. UNIVERSITY DRIVE",
"address_2": "SUITE 105",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655047",
"telephone_number": "954-434-1886",
"fax_number": "954-699-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "SETH",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "FL",
"license": "PY 7340",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 7340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "75511",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drseth@psych-freedom.com",
"affiliation": "N",
"endpointDescription": "encrypted email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "encrypted email",
"address_1": "2929 N. University Drive",
"address_2": "Suite 105",
"city": "Coral Springs",
"state": "FL",
"country_code": "US",
"postal_code": "330655047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.