Mark J Groberski, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3394 Issued in AZ

Practice address

1150 S Forest Ave # 334
Tempe, AZ 85287-1012

Phone

(480) 965-6147

Fax

(480) 965-3426

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

Practice roles

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.

• Arizona State University

  • Clinical Social Worker
  • Tempe, AZ
  • NPI 1013925296
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700809738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5199",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085199",
            "telephone_number": "866-890-6390",
            "fax_number": "325-437-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S FOREST AVE # 334",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852871012",
            "telephone_number": "480-965-6147",
            "fax_number": "480-965-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBERSKI",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Griffith, PMHNP
• Connie Jo Grilley, MED, BCBA, LBA
• Kimberly Joelle Grimm, DPT
• Mark Grimmett, PA-C
• Diane E Grise, N.D.
• Genevieve H Groff, PA
• Payton Gray Gronsky
• Nancy L. Groppenbacher, LMFT
• Anthony Adam Gross, D.C.
• Daniel R Gross, PSY.D.

• Clinical Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.