NPIMap

Organization Active NPI

Grunblatt Psychology and Counseling Offices, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingston, NY
National Provider Identifier
1730325531
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRUNBLATT PSYCHOLOGY AND COUNSELING OFFICES, P.C.
Practice address
124 Green St
Kingston, NY 12401-4422
Phone
(845) 331-3001
Fax
(845) 335-4600
NPI assigned
Dec 29, 2008
Last updated
Jun 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Andrea Grunblatt, PH.D.NPI 1629152970
Title
President
Phone
(845) 331-3001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

124 Green St
Kingston, NY 12401-4422

Mailing address

124 Green St
Kingston, NY 12401-4422
Phone (845) 331-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000188 NY Part B Supplier - Clinic/Group Practice 0143406827 Receives reassigned benefits from 9 practitioners
Practice locations: Kingston, NY

National Provider Directory

National Provider Directory

Locations

113 Green St
Kingston, NY 12401
Phone (845) 331-3001

124 Green St
Kingston, NY 12401
Phone (845) 331-3001

167 Green St
Kingston, NY 12401
Phone (845) 241-7060

275 Fair St
Kingston, NY 12401
Phone (845) 331-3001

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1730325531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014422",
            "telephone_number": "845-331-3001",
            "fax_number": "845-335-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014422",
            "telephone_number": "845-331-3001",
            "fax_number": "845-335-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNBLATT PSYCHOLOGY AND COUNSELING OFFICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "GRUNBLATT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-331-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.