Active NPI
Susan Grubb, R.N.
- Adult Psychiatric/Mental Health Registered Nurse
- Catskill, NY
National Provider Identifier
1811310352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 621557
- Practice address
- 30 W Bridge St
Catskill, NY 12414-1620 - Phone
- (518) 943-0176
- Fax
- (518) 943-6053
- NPI assigned
- Feb 3, 2014
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 621557 | NY | Primary |
Addresses
Primary practice location
30 W Bridge St
Catskill, NY 12414-1620
Mailing address
713 Union St
Hudson, NY 12534-3001
Phone (518) 828-4619
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621557 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Association of Columbia - Greene Counties Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- Hudson, NY
- NPI 1700938560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1811310352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 UNION ST",
"city": "HUDSON",
"state": "NY",
"postal_code": "125343001",
"telephone_number": "518-828-4619",
"fax_number": "518-828-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W BRIDGE ST",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141620",
"telephone_number": "518-943-0176",
"fax_number": "518-943-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "SUSAN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "621557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.