Active NPI
Daniel Strom Gruner, PSYCHOLOGIST
- Clinical Psychologist
- Pittsburgh, PA
National Provider Identifier
1326627936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019226
- Practice address
- 540 N Neville St Ste 102
Pittsburgh, PA 15213-2853 - Phone
- (412) 353-9085
- NPI assigned
- Apr 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | PS019226 | PA | |
| Clinical Psychologist | 103TC0700X | PS019226 | PA | Primary |
Addresses
Primary practice location
540 N Neville St Ste 102
Pittsburgh, PA 15213-2853
Mailing address
7319 Schley Ave
Swissvale, PA 15218-2439
Phone (812) 493-5633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210823003228 | PA | Practitioner - Clinical Psychologist | 1557766938 | Practice locations: Pittsburgh, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1326627936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 SCHLEY AVE",
"city": "SWISSVALE",
"state": "PA",
"postal_code": "152182439",
"telephone_number": "812-493-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 N NEVILLE ST STE 102",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132853",
"telephone_number": "412-353-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNER",
"first_name": "DANIEL",
"middle_name": "STROM",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-02",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "PA",
"license": "PS019226",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.