Andrea Grunblatt, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016158 Issued in NY

Practice address

124 Green St
Kingston, NY 12401-4422

Phone

(845) 331-3001

Fax

(845) 335-4600

NPI assigned

Oct 24, 2006

Last updated

Jun 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Andrea Piehler Former name

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grunblatt Psychology and Counseling Offices, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingston, NY
  • NPI 1730325531
  Medicare reassignment NPD Authorized official
• Andrea Grunblatt Psychology, PLLC

  • Clinical Psychologist
  • Kingston, NY
  • NPI 1255606406
  NPD (past) Authorized official
• Hambright Medical, PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Kingston, NY
  • NPI 1275331456
  NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1629152970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014422",
            "telephone_number": "845-331-3001",
            "fax_number": "845-335-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014422",
            "telephone_number": "845-331-3001",
            "fax_number": "845-335-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNBLATT",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PIEHLER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Grossman, DDS
• Steven Grossman, DDS
• Groups Recover Together - New York LLC (Groups Recover Together)
• Lia Grover, LMSW
• Grunblatt Psychology and Counseling Offices, P.C.
• Diane Lynette Gualtieri, RN
• Augustus Guarente, O.D.
• Anthony Guerrino, DO
• Kulbhushan Dharambir Gulati, M.D.
• Heather Gulnick

• Psychologist in Kingston, NY
• Providers in Kingston, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.