Individual provider Active NPI

Helen E Gruber, PHD

  • Clinical Neuropsychologist
  • Cohasset, MA
National Provider Identifier
1720012180
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6074 Issued in MA
Practice address
84 Jerusalem Rd
Cohasset, MA 02025-1412
Phone
(781) 383-9780
NPI assigned
Jul 10, 2006
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6074 MA Primary

Addresses

Primary practice location

84 Jerusalem Rd
Cohasset, MA 02025-1412

Mailing address

PO Box 127
Cohasset, MA 02025-0127
Phone (781) 383-9780

Other identifiers 3

IdentifierTypeStateIssuer
W04878OtherMABLUE SHIELD
680009813OtherMARAILROAD MEDICARE
0521086MedicaidMA

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6074MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nemg Hingham PastSince Mar 1, 2022 Accepting new patients
Neurobehavioral Associates III, Inc Clinical Neuropsychologist PastSince May 25, 1999 Accepting new patients
Integrated Psych Services, PLLC PastSince Aug 1, 2022 Accepting new patients
Nova Psychiatric Services, PC PastSince Apr 14, 2018 Accepting new patients

Organizations & group practices 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1720012180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020250127",
            "telephone_number": "781-383-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 JERUSALEM RD",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251412",
            "telephone_number": "781-383-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "HELEN",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "6074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "W04878",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680009813",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521086",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.