Individual provider Active NPI

Julie Elise Grenet, PH.D., L.P.

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1598075582
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000932-1 Issued in NY
Practice address
2300 Frederick Douglass Blvd Apt 7B
New York, NY 10027-5085
Phone
(646) 831-1352
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000932-1 NY Primary

Addresses

Primary practice location

2300 Frederick Douglass Blvd Apt 7B
New York, NY 10027-5085

Mailing address

2300 Frederick Douglass Blvd Apt 7B
New York, NY 10027-5085
Phone (646) 831-1352

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
000932-1NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1598075582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FREDERICK DOUGLASS BLVD APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275085",
            "telephone_number": "646-831-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FREDERICK DOUGLASS BLVD APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275085",
            "telephone_number": "646-831-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENET",
        "first_name": "JULIE",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000932-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.