Individual provider Active NPI

Judy F. Grumet, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1407911993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003639L Issued in PA
Practice address
155 N Craig St
Pittsburgh, PA 15213-1571
Phone
(412) 621-4946
Fax
(412) 621-5130
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS003639L PA Primary

Addresses

Primary practice location

155 N Craig St
Pittsburgh, PA 15213-1571

Mailing address

6672 Ridgeville St
Pittsburgh, PA 15217-1315
Phone (412) 621-4946

Other identifiers 1

IdentifierTypeStateIssuer
PS003639LOtherPASTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
PS003639LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407911993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6672 RIDGEVILLE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171315",
            "telephone_number": "412-621-4946",
            "fax_number": "412-621-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N CRAIG ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131571",
            "telephone_number": "412-621-4946",
            "fax_number": "412-621-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMET",
        "first_name": "JUDY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003639L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS003639L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.