Individual provider Active NPI

Mary Susan Grabowski

  • Psychologist
  • Forestdale, MA
National Provider Identifier
1346591302
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10818 Issued in MA
Practice address
8 Song Bird Cir
Forestdale, MA 02644-1222
Phone
(774) 269-0649
NPI assigned
Sep 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 10818 MA Primary

Addresses

Primary practice location

8 Song Bird Cir
Forestdale, MA 02644-1222

Mailing address

8 Song Bird Cir
Forestdale, MA 02644-1222
Phone (774) 269-0649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605001679 MA Practitioner - Clinical Psychologist 4385909795 Reassigns benefits to 2 organizations
Practice locations: Forestdale, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8 Song Bird Cir
Forestdale, MA 02644-1222
Phone (774) 269-0649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Limbic Resources Inc Single Specialty CurrentSince May 8, 2018 Accepting new patients
Cape Cod Psychology, LLC Psychologist CurrentSince Feb 8, 2020 Accepting new patients

Locations

119 Cedar St
Hyannis, MA 02601
Phone (508) 771-2198

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1346591302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SONG BIRD CIR",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441222",
            "telephone_number": "774-269-0649",
            "fax_number": "508-477-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SONG BIRD CIR",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441222",
            "telephone_number": "774-269-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-30",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestdale, MA

Sources for this page

Verify at the official NPI Registry.