Grace Mroz NP in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GRACE MROZ NP IN PSYCHIATRY PLLC

Practice address

450 Waverly Ave Ste 11
Patchogue, NY 11772-1555

Phone

(631) 730-7503

NPI assigned

Jan 26, 2019

Organization subpart

No

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

Authorized official

Name

Grace Mroz

Title

Owner

Phone

(631) 730-7503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548460800000",
    "number": "1346704038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE STE 11",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE STE 11",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721555",
            "telephone_number": "631-730-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MROZ NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A",
        "authorized_official_last_name": "MROZ",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-730-7503"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl S Goodman, DO
• Sandra L. Goodman, RN
• Phyllis H Gorwitz
• Michelle Robyn Gould, MS, OTR/L
• Grace Mroz NP in Psychiatry PLLC
• Frank J Granati, DDS
• Cynthia Marie Graney, LAC, LMT
• Lisa Karen Gray
• Michele Graziano F. Graziano, CASAC
• Great South Bay Bracing LLC

• Psychiatric/Mental Health Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.