NPIMap

Organization Active NPI

Dr. Robert a Gruenberg

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1851794382
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1294 Issued in WI
Legal business name
DR. ROBERT A GRUENBERG
Practice address
6213 N Green Bay Ave.
Milwaukee, WI 53209-3823
Phone
(414) 352-1144
Fax
(414) 352-1133
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. Robert A Gruenberg, PSY.D.NPI 1245445022
Title
Psychologist
Phone
(414) 352-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1294 WI Primary

Addresses

Primary practice location

6213 N Green Bay Ave.
Milwaukee, WI 53209-3823

Mailing address

6312 N Green Bay Ave.
Milwaukee, WI 53209
Phone (414) 352-1144

National Provider Directory

National Provider Directory

Locations

6312 N GRN Bay Ave
Milwaukee, WI 53209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1851794382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 N GREEN BAY AVE.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53209",
            "telephone_number": "414-352-1144",
            "fax_number": "414-352-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 N GREEN BAY AVE.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093823",
            "telephone_number": "414-352-1144",
            "fax_number": "414-352-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT A GRUENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "GRUENBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-352-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.