Jessica Grossmann, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5227 Issued in NC

Practice address

1 Circle Dr BLDG 1H
Perry Point, MD 21902-1106

Phone

(410) 642-2411

NPI assigned

Oct 25, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578075065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA MEDICAL CENTER",
            "address_2": "1 CIRCLE DRIVE, BUILDING 1H",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021106",
            "telephone_number": "410-642-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIRCLE DR BLDG 1H",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021106",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Fulton St # 116E",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053875",
            "country_code": "US",
            "telephone_number": "919-286-0411 x7062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMANN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Giles
• Peter Clarke Glover, DPT
• Tanisha Nicole Glover, LRT, CTRS
• Pamela Grant, PA-C
• Ashley Greer, PH.D.
• Stanley Walter Gutowski Jr., RPH.
• Sarah B Hansel, PH.D.
• Karen Denise Hansrote, RD, LDN
• Ashley N. Hearn, LGSW
• Anita Yuan-Yi Henderson, PHARMD

• Clinical Psychologist in Perry Point, MD
• Providers in Perry Point, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.