Staci Grodin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

214 Hommocks Rd
Larchmont, NY 10538-3915

Phone

(914) 740-8714

NPI assigned

Aug 1, 2023

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Practice roles

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.

• Amy D Wicker Psy D PLLC

  dba Midtown Therapy Associates

  • Counseling Psychologist
  • Brooklyn, NY
  • NPI 1255702221

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1912689720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOMMOCKS RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383915",
            "telephone_number": "917-693-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOMMOCKS RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383915",
            "telephone_number": "914-740-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODIN",
        "first_name": "STACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002819",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venessa Green-Davis
• Debra Cohen Green, PH.D.
• Jennifer Aliza Greenberg, MA, CCC-SLP
• Anabelle Grigorescu, D.AC, MS.AC., L.AC.
• Amy Sara Grinberg, PH.D
• Lina Guertin, MD
• Helen C Haber, LCSW
• Sara L Haftel
• Gus Haracopos, PHD, LCSW
• Keicia Noelle Hare, LMHC

• Mental Health Counselor in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.