Benjamin Zvi Grysman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019732 Issued in NY

Practice address

14108 Jewel Ave
Flushing, NY 11367-1618

Phone

(347) 815-4228

Fax

(347) 402-8186

NPI assigned

Sep 3, 2012

Last updated

Feb 2, 2015By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Queens Cognitive Behavioral Therapy Center

  dba Benjamin Z. Grysman, Ph.D.

  • Psychologist
  • Flushing, NY
  • NPI 1295125110
  NPD (past) Authorized official
• Queens Cognitive Behavioral Therapy Psychology, PLLC

  • Psychologist
  • Flushing, NY
  • NPI 1104356195
  Authorized official Same address or phone

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1841549128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14108 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671618",
            "telephone_number": "347-815-4228",
            "fax_number": "347-402-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14108 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671618",
            "telephone_number": "347-815-4228",
            "fax_number": "347-402-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYSMAN",
        "first_name": "BENJAMIN",
        "middle_name": "ZVI",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-03",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina L. Grossman, M.S., CCC-SLP
• Esther Aliza Grossman, MS, CCC-SLP
• Melissa Grossman
• Grow and Develop With Inessa LLC
• Hannah Rose Gruber
• Irene Grysman, NP
• Gu & Gao Medical PLLC
• Catherine Gu
• Irene Gu
• Kangxia Gu, MD

• Clinical Psychologist in Flushing, NY
• Providers in Flushing, 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 Feb 2, 2015; 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.