Martin Gary Groff, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20010411A Issued in IN

Practice address

9240 N Meridian St Ste 320
Indianapolis, IN 46260-1822

Phone

(317) 844-7489

Fax

(317) 581-1007

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Associates IndyGroup PAC ID 4880136845, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Health Associates Indy

  • Psychologist
  • Indianapolis, IN
  • NPI 1578253233
  Medicare reassignment Care Compare group NPD
• Health Associates LLC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1417081373
  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861545196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-844-7489",
            "fax_number": "317-581-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-844-7489",
            "fax_number": "317-581-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "MARTIN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20010411A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7581142",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000182487",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey N Groce, MSN, FNP-C, CPN
• Mackenzie Michelle Groce
• Stephen Groce, LMHC
• Kathleen Louise Groff, FNP-BC
• Linda Ann Groff, ANP
• Sally Elaine Groff, LMFT
• Jessica Grogan, OTR
• Terence M Grogan, DO
• Jordan Grogg
• Corey Nathanial Groh, D.P.M.

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.