Stephen Grcevich, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-058213 Issued in OH

Practice address

8401 Chagrin Rd
Suite 14B
Chagrin Falls, OH 44023-4701

Phone

(440) 543-3400

Fax

(440) 543-2287

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1861613259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17371 OLD TANNERY TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440232120",
            "telephone_number": "440-543-2288",
            "fax_number": "440-543-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CHAGRIN RD",
            "address_2": "SUITE 14B",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234701",
            "telephone_number": "440-543-3400",
            "fax_number": "440-543-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRCEVICH",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-058213",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35-058213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Richard Goodrich, DDS,MSD.
• Ann Wechter Gordos, R.N.
• Angela Gotora
• Carrie Grace
• Veronica J Grant
• Michael H. Greenberg, O.D.
• Irina Y Gross, DPM
• Thomas James Gustaferro, MD
• Michael B. Guyer, L.P.C.C.
• Michael Gype, PA-C

• Psychiatry Physician in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.