NPIMap

Organization Active NPI

Queens Cognitive Behavioral Therapy Center

Doing business as Benjamin Z. Grysman, Ph.D.

  • Psychologist
  • Flushing, NY
National Provider Identifier
1295125110
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019732 Issued in NY
Legal business name
QUEENS COGNITIVE BEHAVIORAL THERAPY CENTER
Doing business as
Benjamin Z. Grysman, Ph.D.
Practice address
14108 Jewel Ave
Flushing, NY 11367-1618
Phone
(347) 815-4228
Fax
(413) 639-4458
NPI assigned
Jan 30, 2015
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Benjamin Zvi Grysman, PH.D.NPI 1841549128
Title
Director, Psychologist
Phone
(347) 815-4228

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019732 NY Primary
Cognitive & Behavioral Psychologist 103TB0200X 019732 NY

Addresses

Primary practice location

14108 Jewel Ave
Flushing, NY 11367-1618

Mailing address

14108 Jewel Ave
Flushing, NY 11367-1618
Phone (347) 815-4228

Other names 1

  • Benjamin Z. Grysman, Ph.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1295125110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14108 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671618",
            "telephone_number": "347-815-4228",
            "fax_number": "413-639-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14108 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671618",
            "telephone_number": "347-815-4228",
            "fax_number": "413-639-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COGNITIVE BEHAVIORAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "GRYSMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ZVI",
        "authorized_official_title_or_position": "DIRECTOR, PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-815-4228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019732",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "019732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin Z. Grysman, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.