Active NPI
George H Groth, PSY.D.
- School Psychologist
- Valley Cottage, NY
National Provider Identifier
1912063009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 008394
- Practice address
- 472 Kings Hwy
Valley Cottage, NY 10989-1439 - Phone
- (914) 720-8076
- NPI assigned
- Dec 31, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 008394 | NY | |
| School Psychologist | 103TS0200X | 008394 | NY | Primary |
Addresses
Primary practice location
472 Kings Hwy
Valley Cottage, NY 10989-1439
Mailing address
674 Forest Ave
Larchmont, NY 10538-1509
Phone (914) 630-2125
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 |
|---|---|---|---|
| 008394 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1912063009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 FOREST AVE",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105381509",
"telephone_number": "914-630-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 KINGS HWY",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109891439",
"telephone_number": "914-720-8076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTH",
"first_name": "GEORGE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "008394",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "008394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.