Individual provider Active NPI

Neil S. Grossman, PH.D.

  • Clinical Psychologist
  • Dix Hills, NY
National Provider Identifier
1710917059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003673-1 Issued in NY
Practice address
7 Debbie CT
Dix Hills, NY 11746-5601
Phone
(631) 271-4211
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003673-1 NY Primary

Addresses

Primary practice location

7 Debbie CT
Dix Hills, NY 11746-5601

Mailing address

7 Debbie CT
Dix Hills, NY 11746-5601
Phone (631) 271-4211

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120307000047 NY Practitioner - Clinical Psychologist 0345409694 Practice locations: Dix Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Baylor College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Debbie CT
Dix Hills, NY 11746-5601
Phone (631) 271-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710917059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEBBIE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465601",
            "telephone_number": "631-271-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEBBIE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465601",
            "telephone_number": "631-271-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "NEIL",
        "middle_name": "S.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003673-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.