Individual provider Active NPI

Marie Nanetta Gronley, M.D.

  • Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1447392725
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25324 Issued in AZ
Practice address
15849 N 71St St
Scottsdale, AZ 85254-2179
Phone
(480) 922-8490
Fax
(480) 281-1529
NPI assigned
Feb 13, 2007
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
Psychiatry Physician 2084P0800X 25324 AZ Primary

Addresses

Primary practice location

15849 N 71St St
Scottsdale, AZ 85254-2179

Mailing address

15849 N 71St St
Scottsdale, AZ 85254-2179
Phone (480) 922-8490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 24, 2014 through Feb 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23534AZMDPediatric Otolaryngology Physician
25324AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vo of Arizona, Inc. Past Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447392725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15849 N 71ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542179",
            "telephone_number": "480-922-8490",
            "fax_number": "480-281-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15849 N 71ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542179",
            "telephone_number": "480-922-8490",
            "fax_number": "480-281-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONLEY",
        "first_name": "MARIE",
        "middle_name": "NANETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.