Active NPI
Elizabeth Groisser, PSYD
- Clinical Psychologist
- Montclair, NJ
National Provider Identifier
1699790188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016199
- Practice address
- 21 Plymouth St
Montclair, NJ 07042-2607 - Phone
- (201) 341-4926
- Fax
- (973) 746-1922
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 016199 | NY | Primary |
Addresses
Primary practice location
21 Plymouth St
Montclair, NJ 07042-2607
Mailing address
48 S Park St
Montclair, NJ 07042-2777
Phone (201) 341-4926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02638291 | Medicaid | NY |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saddlebrook Anesthesia Services, P.C. | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Willingboro, NJ
- NPI 1275516916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1699790188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 S PARK ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422777",
"telephone_number": "201-341-4926",
"fax_number": "973-746-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PLYMOUTH ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422607",
"telephone_number": "201-341-4926",
"fax_number": "973-746-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROISSER",
"first_name": "ELIZABETH",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02638291",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.