Active NPIIndividual providerSole proprietor

Dr. Andrew M Grunebaum, PHD

Psychologist, Clinical in Stamford, Connecticut

NPI Number1386782290
Practice location
999 Summer St, Suite 200, Stamford, CT 06905-5546
Fax
203-357-9030
Last updated
October 5, 2010

Andrew Moyer Grunebaum is a Psychologist, Clinical based in Stamford, CT. Andrew Moyer Grunebaum practices in Stamford, CT and has the professional credentials of PHD. The NPI Number for Andrew Moyer Grunebaum is 1386782290 and holds a License No. 001760 (CT). The current practice location address for Andrew Moyer Grunebaum is 999 Summer St, Suite 200, Stamford, CT 06905-5546 and can be reached out via phone at 203-324-9712 and via fax at 203-357-9030.

Provider Profile Details

NPI Number
1386782290
Provider Name
Andrew Moyer Grunebaum
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
999 Summer St, Suite 200, Stamford, CT 06905-5546
Phone Number
203-324-9712
Fax Number
203-357-9030
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2007
Last Update Date
October 5, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
999 Summer St
Suite 200
Stamford, CT 06905-5546
Zip
06905-5546
Phone Number
203-324-9712
Fax Number
203-357-9030
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
5 Spoke Dr
Woodbridge, CT 06525-1132
City
Woodbridge
State
CT
Zip
06525-1132
Phone Number
203-393-0817
Fax Number
203-357-9030

License Information

License Number (1)
001760
License State (1)
CT
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
001760
License State (2)
CT
Taxonomy (2)
Psychologist · 103T00000X

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. Andrew M Grunebaum, PHD?

The NPI number of Dr. Andrew M Grunebaum, PHD is 1386782290. It was assigned on February 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew M Grunebaum, PHD?

Dr. Andrew M Grunebaum, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001760.

Where does Dr. Andrew M Grunebaum, PHD practice?

The practice location is 999 Summer St, Suite 200, Stamford, CT 06905-5546. The office can be reached at 203-324-9712 (phone) or 203-357-9030 (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 1386782290 directly on the NPPES registry website.

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