Active NPI
Phyllis Ann Grossman, M.C.
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1972656296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC1814
- Practice address
- 2345 E Thomas Rd
Suite 360
Phoenix, AZ 85016-7848 - Phone
- (602) 468-2077
- Fax
- (480) 609-9688
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC1814 | AZ | Primary |
Addresses
Primary practice location
2345 E Thomas Rd
Suite 360
Phoenix, AZ 85016-7848
Mailing address
5929 E Charter Oak Rd
Scottsdale, AZ 85254-4348
Phone (602) 410-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 964561 | Other | AZ | AHCCS PROVIDER ID |
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 |
|---|---|---|---|
| LPC1814 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grossman & Grossman, LTD. | Past | Accepting new patients | |
| Grossman & Grossman, LTD. | Past | Accepting new patients | |
| Grossman & Grossman LTD | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Scottsdale, AZ
- NPI 1245719236
-
- Mental Health Counselor
- Phoenix, AZ
- NPI 1184921413
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1245679620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972656296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5929 E CHARTER OAK RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852544348",
"telephone_number": "602-410-6635",
"fax_number": "480-609-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 E THOMAS RD",
"address_2": "SUITE 360",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167848",
"telephone_number": "602-468-2077",
"fax_number": "480-609-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "PHYLLIS",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC1814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCS PROVIDER ID",
"identifier": "964561",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.