Individual provider Active NPI

Robert Fraser Grambau, M.D.

  • Child & Adolescent Psychiatry Physician
  • South Salem, NY
National Provider Identifier
1851432801
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
158500 Issued in NY
Practice address
461 Smith Ridge Rd
South Salem, NY 10590-2626
Phone
(914) 364-6694
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 158500 NY Primary

Addresses

Primary practice location

461 Smith Ridge Rd
South Salem, NY 10590-2626

Mailing address

461 Smith Ridge Rd
South Salem, NY 10590-2626
Phone (914) 364-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000554 NY Practitioner - Psychiatry 4981799111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wihd IncGroup PAC ID 7618917907, 33 clinicians

Practice addresses (Care Compare)

20 Hospital Oval W
Valhalla, NY 10595-1536
Phone (914) 493-8208

20 Hospital Oval W
Valhalla, NY 10595-1571

Hospital & facility affiliations

  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158500NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wihd Inc CurrentSince Sep 1, 2006 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1851432801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 SMITH RIDGE RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902626",
            "telephone_number": "914-364-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 SMITH RIDGE RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902626",
            "telephone_number": "914-364-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMBAU",
        "first_name": "ROBERT",
        "middle_name": "FRASER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "158500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

Verify at the official NPI Registry.