Active NPI
Mark Grochocki, LAMFT
- Marriage & Family Therapist
- Glendale, AZ
National Provider Identifier
1861279440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 10583
- Practice address
- 7121 W Bell Rd
Glendale, AZ 85308-8555 - Phone
- (602) 842-2914
- NPI assigned
- Sep 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 10583 | AZ | Primary |
Addresses
Primary practice location
7121 W Bell Rd
Glendale, AZ 85308-8555
Mailing address
19439 W Annika Dr
Litchfield Park, AZ 85340-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10583 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1861279440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19439 W ANNIKA DR",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853405810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7121 W BELL RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088555",
"telephone_number": "602-842-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROCHOCKI",
"first_name": "MARK",
"credential": "LAMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "10583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.