Individual provider Active NPI

Barry Glenn Grossman, PH.D

  • Psychologist
  • Dallas, TX
National Provider Identifier
1699162537
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
6220 Campbell Rd Ste 404
Dallas, TX 75248-1496
Phone
(214) 227-7741
Fax
(214) 432-0494
NPI assigned
Apr 17, 2015
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X TX Primary

Addresses

Primary practice location

6220 Campbell Rd Ste 404
Dallas, TX 75248-1496

Mailing address

6220 Campbell Rd Ste 404
Dallas, TX 75248-1496
Phone (214) 227-7741

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Ziggurat Group, PA Psychologist CurrentSince Jun 22, 2021 Accepting new patients

Locations

17430 Campbell Rd
Ste 112
Dallas, TX 75252
Phone (214) 628-9047

6220 Campbell Rd
Ste 404
Dallas, TX 75248
Phone (214) 227-7741

5232 Village Creek Dr
Ste 200
Plano, TX 75093
Phone (972) 490-5757

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1699162537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 CAMPBELL RD STE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481496",
            "telephone_number": "214-227-7741",
            "fax_number": "214-432-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 CAMPBELL RD STE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481496",
            "telephone_number": "214-227-7741",
            "fax_number": "214-432-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "BARRY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.