Individual provider Active NPI

Paul Gron, ED.D.

  • Counseling Psychologist
  • Concord, MA
National Provider Identifier
1477591428
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3496 Issued in MA
Practice address
336 Baker Ave
Suite 1-3
Concord, MA 01742-2100
Phone
(978) 287-0101
Fax
(617) 795-0239
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3496 MA Primary

Addresses

Primary practice location

336 Baker Ave
Suite 1-3
Concord, MA 01742-2100

Mailing address

158 Collins Rd
Newton, MA 02468-2234
Phone (978) 287-0101

Other identifiers 3

IdentifierTypeStateIssuer
WO3536OtherMABCBS OF MA
722117OtherMATUFTS HEALTH PLANS
010660OtherMAVALUE OPTIONS HEALTH PLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000575 MA Practitioner - Clinical Psychologist 7214070234 Practice locations: Brookline, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Boston University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

69 Summit Ave
Brookline, MA 02446-2334
Phone (978) 287-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477591428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 COLLINS RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024682234",
            "telephone_number": "978-287-0101",
            "fax_number": "617-795-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 BAKER AVE",
            "address_2": "SUITE 1-3",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422100",
            "telephone_number": "978-287-0101",
            "fax_number": "617-795-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRON",
        "first_name": "PAUL",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "3496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "WO3536",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "722117",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS HEALTH PLA",
            "identifier": "010660",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.