Stephanie L. Grossman, Ph.D.
Psychologist, Clinical in Boston, MA. Individual provider (NPI-1).
NPI number1114529005
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1114529005
- Entity type
- Individual (NPI-1)
- Name
- Stephanie L. Grossman
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2020
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 11393 | MA | Yes |
Practice location
150 S Huntington AveBoston, MA 02130-4817
Phone 857-364-3708
Mailing address
150 S Huntington AveJamaica Plain, MA 02130-4817
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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