Ivey Ike Grozier III, MA, LAADC, CADC-II,

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LR390411 Issued in CA

Practice address

795 Willow Rd # 332
Menlo Park, CA 94025-2539

Phone

(650) 324-1470

Fax

(650) 324-4149

NPI assigned

Jul 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1922363266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD # 332",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-324-1470",
            "fax_number": "650-324-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD # 332",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-324-1470",
            "fax_number": "650-324-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROZIER",
        "first_name": "IVEY",
        "middle_name": "IKE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MA, LAADC, CADC-II,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR390411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Morgan Grier, PT
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• Ruth Diane Gross, PHD
• Jason T. Grossman, PHD
• Growing Minds Mental Health Services
• Gabriela Maria Gryczynski
• Jay Gu, DDS
• Jeffrey Mark Guardino, MD
• Susannah Elizabeth Guerra, MA COUN. PSYCH.
• Guide Behavioral Health LLC

• Addiction (Substance Use Disorder) Counselor in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.