Active NPI
John Grossberg, PHD MFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1396908661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34782
- Practice address
- 4112 24TH St
San Francisco, CA 94114-3615 - Phone
- (415) 970-1020
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC34782 | CA | Primary |
Addresses
Primary practice location
4112 24TH St
San Francisco, CA 94114-3615
Mailing address
PO Box 6102
Moraga, CA 94570-6102
Phone (415) 970-1020
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC34782 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1396908661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6102",
"city": "MORAGA",
"state": "CA",
"postal_code": "945706102",
"telephone_number": "415-970-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 24TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941143615",
"telephone_number": "415-970-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSBERG",
"first_name": "JOHN",
"credential": "PHD MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.