DR. MARY JEANNE GROESBECK (NPI# 1275628760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275628760 |
| Entity Type | Individual |
| Full Name | DR. MARY JEANNE GROESBECK |
| Other Name | MARY JEANNE VELLELA |
| Credential | DNSC, ARNP, CS |
| Practice Address |
2385 Nw Executive Center Dr Ste 100 Boca Raton FL 33431-8579 |
| Practice Telephone | 5613503644 |
| Practice Fax Number | 5612457374 |
| Mailing Telephone | 5613503644 |
| Mailing Fax Number | 5612457374 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP3135372 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 303903000 | 05 |
| Street Address |
2385 NW EXECUTIVE CENTER DR STE 100 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-8579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512521 | Howard M Weiner | Allergy & Immunology | 2385 Nw Executive Center Dr, Suite 102, Boca Raton, FL 33431-8579 | 2005-07-18 |
| 1598206567 | Kelly Kremnitzer | Nutritionist | 2385 Nw Executive Center Dr, Ste 100, Boca Raton, FL 33431-8579 | 2017-03-10 |
| 1689022147 | Provider Services of America, LLC | Non-Pharmacy Dispensing Site | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2016-05-25 |
| 1932502036 | Right Medication Solutions, Inc. | Pharmacist | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2014-10-02 |
| 1598072076 | American Physicians Testing Services | Technician, Other | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2010-09-07 |
| 1518191220 | Boca Raton Speech & Voice Center, Inc. | Clinic/Center | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2009-05-08 |
| 1578720306 | Sonia Ioannides | Psychoanalyst | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2008-05-20 |
| 1205999596 | Boca Raton Speech & Rehab Center Inc | Clinic/Center | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2006-12-18 |
| 1184716326 | Joseph A Mirrione | Pharmacist | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2006-09-28 |
| 1659382562 | Susan M Berlinger | Speech-Language Pathologist | 2385 Nw Executive Center Dr, 100, Boca Raton, FL 33431-8579 | 2006-08-10 |
| Find all providers in the same location | ||||
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| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543285 | Rebecca Lucille Saylor | Nurse Practitioner | 150 W Key Palm Rd, Boca Raton, FL 33432-7998 | 2020-09-16 |
| 1942818588 | Chelsea Schwartz | Nurse Practitioner | 7280 W Palmetto Park Rd Ste 105, Boca Raton, FL 33433-3401 | 2020-07-20 |
| 1891327615 | Jorge R Padron | Nurse Practitioner | 500 Ne Spanish River Blvd Ste 102, Boca Raton, FL 33431-4500 | 2020-02-10 |
| 1982068011 | Janet Platt Raines | Nurse Practitioner | 21449 Fairfield Ln, Boca Raton, FL 33486-1424 | 2016-04-05 |
| 1437401486 | Ruth Lynn Gaines | Nurse Practitioner | 5573 Pacific Blvd, #3512, Boca Raton, FL 33433-6752 | 2012-10-15 |
| 1124299441 | Successful Healthcare Solutions Inc | Nurse Practitioner | 5580 Coach House Cir, #d, Boca Raton, FL 33486-8653 | 2008-03-13 |
| 1982705018 | Janet R. Leathem | Nurse Practitioner | 5749 Camino Del Sol, Suite 206, Boca Raton, FL 33433-6564 | 2006-09-25 |
| 1073147674 | J.r.p Psychiatry | Nurse Practitioner | 500 Ne Spanish River Blvd Ste 102, Boca Raton, FL 33431-4500 | 2020-02-24 |
| 1578113049 | Soflo Psychiatric Services LLC | Nurse Practitioner | 9960 Central Park Blvd N, Boca Raton, FL 33428-1759 | 2019-09-17 |
| 1902994510 | Valerie Kolbert | Nurse Practitioner | 500 Ne Spanish River Blvd, Suite 102, Boca Raton, FL 33431-4515 | 2006-10-10 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
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| 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.