Individual provider Active NPI

Kathryn Giles Groll, CNM, PMHNP-BC, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parsippany, NJ
National Provider Identifier
1336304823
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ1481100 Issued in NJ
Practice address
22 Hill Rd
Parsippany, NJ 07054-1078
Phone
(973) 335-9910
NPI assigned
Jul 23, 2008
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ1481100 NJ Primary
Advanced Practice Midwife 367A00000X 25ME00042801 NJ

Addresses

Primary practice location

22 Hill Rd
Parsippany, NJ 07054-1078

Mailing address

5 Summit Rd
Cranford, NJ 07016-1931
Phone (908) 738-9185

Other practice location 1

123 N Union Ave Ste 302
Cranford, NJ 07016-2198
Phone (908) 738-9185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
26NJ1481100NJMDPsychiatric/Mental Health Nurse Practitioner
25ME00042801NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Vineyard Psychiatry Psychiatric/Mental Health CurrentSince Oct 20, 2024 Accepting new patients

Locations

123 N Union Ave
Ste 302
Cranford, NJ 07016
Phone (908) 292-8017

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1336304823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUMMIT RD",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161931",
            "telephone_number": "908-738-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541078",
            "telephone_number": "973-335-9910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Union Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Cranford",
            "state": "NJ",
            "postal_code": "070162198",
            "country_code": "US",
            "telephone_number": "908-738-9185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROLL",
        "first_name": "KATHRYN",
        "middle_name": "GILES",
        "credential": "CNM, PMHNP-BC,  DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ1481100",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00042801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.