Corey Anne Grassl, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019946 Issued in NY

Practice address

8510 Chippendale Cir
Manlius, NY 13104-9413

Phone

(315) 682-1656

NPI assigned

Dec 7, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1184974529
  NPD
• Suny Health Science Center at Syracuse

  • Pharmacy
  • Syracuse, NY
  • NPI 1306567474
  NPD

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

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1770914392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 CHIPPENDALE CIR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049413",
            "telephone_number": "732-770-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 CHIPPENDALE CIR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049413",
            "telephone_number": "315-682-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSL",
        "first_name": "COREY",
        "middle_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-07",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geeta Sangani Physician PLLC
• Sanaa Badie Gerges Nakhla, RPH
• Nicole Gisondi
• Cindy Gleason
• Lora Lolane Glundal, L.AC.
• Kimberly Cannon Green, OTR/C
• Barbara Ruth Greene, PH.D.
• Ellen Faye Greenfield, MS,CCC-SLP
• Gregory P Collis
• Karen K Heitzman, MD

• Clinical Psychologist in Manlius, NY
• Providers in Manlius, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.