Individual provider Active NPI

Stephanie Josephine Grimaldi, PHD

  • Psychologist
  • Ridgewood, NY
National Provider Identifier
1497509541
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
025974 Issued in NY
Practice address
2025 Palmetto St Apt 1L
Ridgewood, NY 11385-3171
Phone
(646) 543-1204
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 025974 NY
Cognitive & Behavioral Psychologist 103TB0200X 025974 NY
Psychologist 103T00000X 025974 NY Primary

Addresses

Primary practice location

2025 Palmetto St Apt 1L
Ridgewood, NY 11385-3171

Mailing address

2310 Jericho Tpke # 1078
Garden City Park, NY 11040-4721
Phone (646) 543-1204

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
025974NYMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grimaldi Psychological Services, PLLC Psychologist CurrentSince Apr 21, 2024 Accepting new patients

Locations

2310 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 234-4146

Organizations & group practices 1

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1497509541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 JERICHO TPKE # 1078",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110404721",
            "telephone_number": "646-543-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 PALMETTO ST APT 1L",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853171",
            "telephone_number": "646-543-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "STEPHANIE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025974",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "025974",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.