Individual provider Active NPI

Elaine K Grofik, PH.D.

  • Psychologist
  • Solana Beach, CA
National Provider Identifier
1407158975
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23478 Issued in CA
Practice address
530 Lomas Santa Fe Dr
Suite M
Solana Beach, CA 92075-1349
Phone
(877) 274-5053
Fax
(858) 216-5625
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23478 CA Primary

Addresses

Primary practice location

530 Lomas Santa Fe Dr
Suite M
Solana Beach, CA 92075-1349

Mailing address

PO Box 262010
San Diego, CA 92196-2010
Phone (619) 518-2869

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1407158975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262010",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921962010",
            "telephone_number": "619-518-2869",
            "fax_number": "858-216-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR",
            "address_2": "SUITE M",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751349",
            "telephone_number": "877-274-5053",
            "fax_number": "858-216-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFIK",
        "first_name": "ELAINE",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "23478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.