Alfred Edward Grzegorek, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1008 Issued in OH

Practice address

4466 Darrow Rd
Suite 4B
Stow, OH 44224-1866

Phone

(330) 688-6921

Fax

(330) 688-4470

NPI assigned

Mar 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Alfred E. Grzegorek, PH D, Inc.

  • Psychologist
  • Stow, OH
  • NPI 1750548053
  NPD (past) Authorized official

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1952360828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 DARROW RD",
            "address_2": "SUITE 4B",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241866",
            "telephone_number": "330-688-6921",
            "fax_number": "330-688-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 DARROW RD",
            "address_2": "SUITE 4B",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241866",
            "telephone_number": "330-688-6921",
            "fax_number": "330-688-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZEGOREK",
        "first_name": "ALFRED",
        "middle_name": "EDWARD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Stow, OH
• Providers in Stow, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.