DR. JOHN N GRUTKOWSKI (NPI# 1114139375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114139375 |
| Entity Type | Individual |
| Full Name | DR. JOHN N GRUTKOWSKI |
| Credential | PH.D. |
| Practice Address |
47 South Washington St. Wilkes-barre PA 18701-3033 |
| Mailing Address |
17 Metropolitan Ave. Hunlock Creek PA 18621-4412 |
| Practice Telephone | 5708248971 |
| Mailing Telephone | 5707608510 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PS003426-L | PA | Behavioral Health & Social Service Providers |
| Street Address |
47 SOUTH WASHINGTON ST. |
| City | WILKES-BARRE |
| State | PA |
| Zip Code | 18701-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878836 | Moriah M Teed | Pharmacist | 115 East Northampton St, Wilkes-barre, PA 18701 | 2020-10-12 |
| 1275164055 | Paul Thomas Stanziale | Social Worker | Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 | 2020-01-30 |
| 1790211175 | Erik David Robertson | Physical Therapist | 4011 Green Pond Road, Bethlhem, PA 18701 | 2017-05-04 |
| 1063895431 | Jennifer L Schell | Nurse Practitioner | 60 Public Sq, Wilkes Barre, PA 18701 | 2015-07-03 |
| 1184051617 | Vincent L. Carolan | Counselor | 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 | 2013-09-30 |
| 1538592696 | Courtenay Jayne Mcdonough | Nurse Practitioner | 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 | 2013-08-13 |
| 1043656721 | Barbara Lynnette Hoffman | Nurse Practitioner | 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 | 2013-05-21 |
| 1518232768 | Sharon Anita Wander | Pediatrics | 47 S Washington Street, Wilkes-barre, PA 18701 | 2012-03-20 |
| 1245564780 | Judith Ann Schrepfer | Occupational Therapist | 1 East Street, Bloomsburg, PA 18701 | 2009-10-01 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| Find all providers in zip 18701 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710447743 | Rene William Tallichet | Psychologist | 6115 Springford Dr Apt G10, Harrisburg, PA 17111-4847 | 2019-03-25 |
| 1083105498 | Stephen J Morse | Psychologist | 2301 Cherry St Apt 14b, Philadelphia, PA 19103-1064 | 2018-05-21 |
| 1518482249 | Gerald Cooke, Ph.d. & Margaret Cooke, Ph.d., P.C. | Psychologist | 4 E Germantown Pike Fl 1, Plymouth Meeting, PA 19462-1533 | 2017-08-03 |
| 1215239181 | Shannon Marie Edwards | Psychologist | 37 Southern Ave, Floor 2 - Right, Pittsburgh, PA 15211-1927 | 2010-11-29 |
| 1396908380 | Robert F Coufal Phd | Psychologist | 5701 Centre Ave Ste L11, Pittsburgh, PA 15206-3787 | 2008-07-09 |
| 1184765125 | Stephen Miksic | Psychologist | 7 Embassy Cir, East Norriton, PA 19403-4011 | 2007-02-11 |
| 1801943469 | William F. Russell | Psychologist | 1241 Vine St, Suite 300, Philadelphia, PA 19107-1111 | 2007-01-05 |
| 1578673570 | Anna Devries Lawler | Psychologist | 260 S Broad St, Philadelphia, PA 19102-5021 | 2006-08-30 |
| 1285646000 | Guidance Associates of Pa | Psychologist | 412 Erford Rd, Camp Hill, PA 17011-1117 | 2006-08-12 |
| 1609828912 | Thomas Michael Eberle | Psychologist | 3154 Wildwood Rd Ext, Allison Park, PA 15101 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | WILKES-BARRE |
| Zip Code | 18701 |
Please comment or provide details below to improve the information on DR. JOHN N GRUTKOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.