Barry L. Gruber, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1622 Issued in MD

Practice address

49 Old Solomons Island Rd
Ste 200
Annapolis, MD 21401-3864

Phone

(410) 266-8555

Fax

(410) 266-5328

NPI assigned

Jun 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1497957484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HARMONY LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095719",
            "telephone_number": "410-266-8555",
            "fax_number": "410-266-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD SOLOMONS ISLAND RD",
            "address_2": "STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013864",
            "telephone_number": "410-266-8555",
            "fax_number": "410-266-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "BARRY",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.