Individual provider Active NPI

Sara Grozalsky, PSY.D

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1689995615
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012232 Issued in NY
Practice address
1450 48TH St
6D
Brooklyn, NY 11219-3257
Phone
(718) 437-7315
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012232 NY Primary

Addresses

Primary practice location

1450 48TH St
6D
Brooklyn, NY 11219-3257

Mailing address

1450 48TH St
6D
Brooklyn, NY 11219-3257
Phone (718) 437-7315

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

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1689995615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 48TH ST",
            "address_2": "6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193257",
            "telephone_number": "718-437-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 48TH ST",
            "address_2": "6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193257",
            "telephone_number": "718-437-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROZALSKY",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.