Active NPIIndividual providerSole proprietor

Dr. Kenneth M Gruenberg, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Newton Centre, Massachusetts

NPI Number1316920077
Practice location
10 Langley RD, Newton Centre, MA 02459-1972
Fax
617-969-4070
Last updated
July 8, 2007

Kenneth Michael Gruenberg is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Newton Centre, MA. Kenneth Michael Gruenberg practices in Newton Centre, MA and has the professional credentials of MD. The NPI Number for Kenneth Michael Gruenberg is 1316920077 and holds a License No. 35996 (MA). The current practice location address for Kenneth Michael Gruenberg is 10 Langley RD, Newton Centre, MA 02459-1972 and can be reached out via phone at 617-969-6693 and via fax at 617-969-4070.

Provider Profile Details

NPI Number
1316920077
Provider Name
Kenneth Michael Gruenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10 Langley RD, Newton Centre, MA 02459-1972
Phone Number
617-969-6693
Fax Number
617-969-4070
Sole Proprietor
Yes
Provider Enumeration Date
November 26, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Langley RD
Newton Centre, MA 02459-1972
Zip
02459-1972
Phone Number
617-969-6693
Fax Number
617-969-4070
Newton Centre, MA 02459Get directions →

Provider Business Mailing Address Details

Address
10 Langley RD
Newton Centre, MA 02459-1972
City
Newton Centre
State
MA
Zip
02459-1972
Phone Number
617-969-6693
Fax Number
617-969-4070

License Information

License Number
35996
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth M Gruenberg, MD?

The NPI number of Dr. Kenneth M Gruenberg, MD is 1316920077. It was assigned on November 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth M Gruenberg, MD?

Dr. Kenneth M Gruenberg, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in MA under license number 35996.

Where does Dr. Kenneth M Gruenberg, MD practice?

The practice location is 10 Langley RD, Newton Centre, MA 02459-1972. The office can be reached at 617-969-6693 (phone) or 617-969-4070 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316920077 directly on the NPPES registry website.

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