Thomas Grebouski, PHD, BCBA-D
Individual provider Active NPI Mental Health Counselor · Rye, NH
NPI 1336508191 · NPPES record last updated Jul 13, 2018
Key facts
- NPI
- 1336508191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 344 (NH)
- Practice address
- 1247 Washington Rd Ste 25
Rye, NH 03870-2346 - Phone
- (603) 674-4267
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | NH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-12797 | NH | |
| Mental Health Counselor | 101YM0800X | 344 | NH | Yes |
Addresses
Primary practice location
1247 Washington Rd Ste 25
Rye, NH 03870-2346
Mailing address
PO Box 342
Berwick, ME 03901-0342
Phone (603) 674-4267
Other practice location 1
14 Bow St
Exeter, NH 03833-2828
Phone (603) 674-4267
Other practice location 2
14 Bow St
Exeter, NH 03833-2828
Phone (603) 674-4267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336508191 | Medicaid | NH |
Other providers in Rye, NH
- James R. Fecteau
- Sheri Lynn Flaherty
- Mary Elizabeth Fontaine
- Olivia Garrow
- Matthew Garthwait
- Leanna Gunn
- Elizabeth Hall
- Debra Higgins
- Caroline Marie Jewett Kelley
- Leslie Latimer
All providers in Rye, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.