Marc Grodner, RADT I

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R1192780215 Issued in CA

Practice address

1035 Market St
San Francisco, CA 94103-1600

Phone

(415) 487-3000

NPI assigned

May 14, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1609223148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 SAN LUIS CIR UNIT 729",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940143639",
            "telephone_number": "513-374-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031600",
            "telephone_number": "415-487-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODNER",
        "first_name": "MARC",
        "credential": "RADT I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "R1192780215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Grizzell
• Jessica Groberio, PH.D.
• Janet Grochowski, RPH
• Alyssa Grode
• Kristel Selah Grodeska, LMFT
• Danny Paul Grody, MFT TRAINEE
• Eugene C Groeger
• Margaret Groeninger, LCSW
• Lisa Marie Groesz, PH.D.
• Sharon Grof

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.