Active NPI
Teresa Grella-Hillebrand, LMFT
- Marriage & Family Therapist
- Dix Hills, NY
National Provider Identifier
1780804989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000155-1
- Practice address
- 14 Candlewood Path
Dix Hills, NY 11746-5304 - Phone
- (631) 327-2508
- NPI assigned
- Apr 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000155-1 | NY | Primary |
Addresses
Primary practice location
14 Candlewood Path
Dix Hills, NY 11746-5304
Mailing address
14 Candlewood Path
Dix Hills, NY 11746-5304
Phone (631) 327-2508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3480536 | Other | NY | OXFORD HEALTH PLAN |
| P3480536 | Other | UNITED HEALTHCARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000155-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1780804989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CANDLEWOOD PATH",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465304",
"telephone_number": "631-327-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CANDLEWOOD PATH",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465304",
"telephone_number": "631-327-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRELLA-HILLEBRAND",
"first_name": "TERESA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000155-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P3480536",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "P3480536",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.