Individual provider Active NPI

Shani Grunsfeld

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1487314324
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
024712 Issued in NY
Practice address
225 Avenue M Apt 3
Brooklyn, NY 11230-4693
Phone
(927) 690-3272
NPI assigned
Dec 20, 2021
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024712 NY
Family Psychologist 103TF0000X 024712 NY
Adult Development & Aging Psychologist 103TA0700X 024712 NY
Cognitive & Behavioral Psychologist 103TB0200X 024712 NY
Clinical Child & Adolescent Psychologist 103TC2200X 024712 NY
Group Psychotherapy Psychologist 103TP2701X 024712 NY
Clinical Psychologist 103TC0700X 024712 NY Primary

Addresses

Primary practice location

225 Avenue M Apt 3
Brooklyn, NY 11230-4693

Mailing address

225 Avenue M Apt 3
Brooklyn, NY 11230-4693
Phone (917) 690-3272

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

State licenses

LicenseStateTypeSpecialty
024712NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapist Alliance Network LLC Clinical Current Accepting new patients
Only-Connect Psychological Services PLLC CurrentSince Oct 2, 2022 Accepting new patients
Connect RF Medicine PLLC Current Accepting new patients

Locations

1216 Broadway
Fl 2
New York, NY 10001
Phone (617) 356-8039

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1487314324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 AVENUE M APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304693",
            "telephone_number": "917-690-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 AVENUE M APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304693",
            "telephone_number": "927-690-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNSFELD",
        "first_name": "SHANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024712",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "024712",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "024712",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "024712",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "024712",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "024712",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.