Jeramiah Gruendemann, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1575 Allouez Ave
Green Bay, WI 54311-5625

Phone

(920) 858-1389

NPI assigned

May 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1346031952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 PAPERMAKER DR",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "541361856",
            "telephone_number": "920-858-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 ALLOUEZ AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115625",
            "telephone_number": "920-858-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENDEMANN",
        "first_name": "JERAMIAH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Groop, P.T.A.
• David Allen Groop, PT
• Faith Gross
• Jeffrey William Gross, SAC-IT
• David L Groteluschen, M.D.
• Staci Marie Gruenke, MS, LAT, CSCS
• Michael J Gruesen, D.O.
• Jeffrey Alan Gruse, RN
• Britney Scott Gruszynski, APNP, FNP-C
• GT Mobility & Services LLC

• Psychologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.