Individual provider Active NPI

Christopher Edward Grieco, PSY.D.

  • Psychologist
  • Oyster Bay, NY
National Provider Identifier
1598831497
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015617-1 Issued in NY
Practice address
212 South St
Oyster Bay, NY 11771-2362
Phone
(516) 384-9032
Fax
(516) 433-0471
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015617-1 NY Primary

Addresses

Primary practice location

212 South St
Oyster Bay, NY 11771-2362

Mailing address

212 South St
Oyster Bay, NY 11771-2362
Phone (516) 384-9032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000279 NY Practitioner - Clinical Psychologist 4486702610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

212 S St
Oyster Bay, NY 11771-2362
Phone (516) 384-9032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015617-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Grieco, Psy.D., P.C. Psychologist CurrentSince Feb 12, 2014 Accepting new patients

Locations

212 South St
Oyster Bay, NY 11771
Phone (516) 384-9032

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1598831497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712362",
            "telephone_number": "516-384-9032",
            "fax_number": "516-433-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712362",
            "telephone_number": "516-384-9032",
            "fax_number": "516-433-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIECO",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015617-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

Verify at the official NPI Registry.