Individual provider Active NPI

Catherine Claire Devine-Grehan, PH.D.

  • School Psychologist
  • Lynbrook, NY
National Provider Identifier
1851680672
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
012130 Issued in NY
Practice address
365 Sunrise Hwy
Lynbrook, NY 11563-3027
Phone
(516) 238-8733
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 012130 NY Primary

Addresses

Primary practice location

365 Sunrise Hwy
Lynbrook, NY 11563-3027

Mailing address

1417 Surrey Lane
Rockville Centre, NY 11570
Phone (516) 536-1026

Other names 1

  • Dr. Katie Claire Devine Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604000298 NY Practitioner - Clinical Psychologist 8022439751 Practice locations: Lynbrook, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

365 Sunrise Hwy
Lynbrook, NY 11563-3027
Phone (516) 238-8733

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1851680672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 SURREY LANE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-536-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 SUNRISE HWY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633027",
            "telephone_number": "516-238-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE-GREHAN",
        "first_name": "CATHERINE",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "012130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DEVINE",
            "middle_name": "CLAIRE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.