Active NPI
Alexandra Maria Grigorian, PSY.D.
- Clinical Psychologist
- Cheshire, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 004130
- Practice address
- 680 S Main St # LL1
Cheshire, CT 06410-3181 - Phone
- (203) 699-2030
- NPI assigned
- Aug 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 004130 | CT | Primary |
Addresses
Primary practice location
680 S Main St # LL1
Cheshire, CT 06410-3181
Mailing address
680 S Main St # LL1
Cheshire, CT 06410-3181
Other practice location 1
200 Retreat Avenue
Hartford Hospital Psychiatry Dept- Anxiety Disorders
Hartford, CT 06106-3309
Phone (860) 545-7685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
200 Retreat Ave
Hartford, CT 06106-3310
Phone (860) 545-7500
800 Village Square Crossing
Suite 390
Palm Beach Gardens, FL 33410
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Grigorian Psychology, LLC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients |
Locations
680 S Main St
Lowr 1
Cheshire, CT 06410
Phone (203) 271-1392
200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
824 US Highway 1
Ste 270
North Palm Beach, FL 33408
Phone (561) 448-6562
800 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 448-6562
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- North Palm Beach, FL
- NPI 1609601780
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638057600000",
"number": "1750058400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S MAIN ST # LL1",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 S MAIN ST # LL1",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103181",
"telephone_number": "203-699-2030"
}
],
"practiceLocations": [
{
"address_1": "200 Retreat Avenue",
"address_2": "Hartford Hospital Psychiatry Dept- Anxiety Disorders",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063309",
"country_code": "US",
"telephone_number": "860-545-7685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIGORIAN",
"first_name": "ALEXANDRA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-29",
"last_updated": "2021-11-28",
"certification_date": "2021-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "004130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.