Shirley N Gruen, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21926 Issued in TX

Practice address

101 Southwestern Blvd
#109
Sugar Land, TX 77478-3668

Phone

(281) 491-5250

Fax

(281) 242-0707

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shirley.gruen.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  TX

  Medicare reassignment Care Compare group NPD
• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  Medicare reassignment NPD
• Shirley N Gruen PH D P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sugar Land, TX
  • NPI 1508023474
  NPD (past) Authorized official
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1750464616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25227 SHADOWMERE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946491",
            "telephone_number": "281-491-5250",
            "fax_number": "281-242-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD",
            "address_2": "#109",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783668",
            "telephone_number": "281-491-5250",
            "fax_number": "281-242-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEN",
        "first_name": "SHIRLEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0986101-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adetoun Oluwatoyin Griffin
• Laura Jane Griffin, NP
• Rebekah R Grimes, L.M.T, M.M.P
• Dennis Reagan Grizzle, D.D.S.
• Samantha Erin Grosch, M.ED, BCBA
• Pedro Noe Guardado Pocasangre
• Guardian Angels Hospice & Palliative Care, Inc.
• Laura M Guarin, P.T., D.P.T., MCMT
• Diana M. Guerra, MD
• Guilherme Santos Guerra, PA-C

• Clinical Psychologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.

Verify at the official NPI Registry.