Aliza Grodko, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

1028 E 179TH St
Bronx, NY 10460-2222

Phone

(718) 842-0200

NPI assigned

Mar 18, 2015

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Aizer Health , Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, NY
  • NPI 1063480218
  Medicare reassignment NPD
• Aizer Health , Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, NY
  • NPI 1528941689
  NPD

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1851784631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E 179TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104602222",
            "telephone_number": "718-842-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E 179TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104602222",
            "telephone_number": "718-842-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODKO",
        "first_name": "ALIZA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odile Grisard Boucher, FNP-BC
• Clifettia Grissett
• Karina Gritsenko
• David Clark Gritz, MD, MPH
• Ellen H Grober, PHD
• Justina Louisa Groeger, MD, MPH
• Ashley Renee Groesbeck, LMSW
• Adriana Estela Groisman-Perelstein, M.D.
• Jasmina Gromilic, PHARM. D
• Kelly Ann Groom, M.S. PA-C

• Clinical Child & Adolescent Psychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.