REBECCA GROMALA


Address: 8410 Wicker Ave, Saint John, IN 46373-9710
Phone: 2193658507

REBECCA GROMALA (NPI# 1518443829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518443829
Entity Type Individual
Full Name REBECCA GROMALA
Practice Address 8410 Wicker Ave
Saint John
IN 46373-9710
Practice Telephone 2193658507
Mailing Telephone 2193658507
Enumeration Date 2018-07-19
Last Update Date 2018-07-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
1555669 IN Behavioral Health & Social Service Providers

Office Location

Street Address 8410 WICKER AVE
City SAINT JOHN
State IN
Zip Code 46373-9710

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NPI Name Taxonomy Address Enumeration
1023641123 Lisa A Arteaga Occupational Therapy Assistant 10700 Park Place of St John, St John, IN 46373 2020-02-17
1306493507 Athletico Ltd Physical Therapist 10081 Wicker Ave #4, Saint John, IN 46373 2019-08-22
1083014971 Courtney Olavarria Registered Nurse 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 2014-08-27
1316368111 Tracy Lynn Wargo Registered Nurse 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 2013-12-20
1245587989 Joshua Dejong Physical Therapist 10200 Wicker Ave Ste 1, Saint John, IN 46373 2012-08-13
1053406629 Corlin Alden Stein Chiropractor 9161 Wicker Avenue (us 41), St. John, IN 46373 2006-10-03
1235190216 Tarak R Chokshi Internal Medicine 10200 Wicker Avenue, St John, IN 46373 2006-03-30
1154397057 Norbert A Matulis Dentist 9207 Wicker Avenue, St John, IN 46373 2006-02-28
1568462729 Keith R. Pitchford Orthopaedic Surgery 9615 Keilman Street, Saint John, IN 46373 2005-07-28
1528483021 Creating Smiles PC Dentist 8217 Wicker Ave, St John, IN 46373 2014-02-20
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932700523 Julia Ann Edwards Psychologist 401 W Joliet St, Crown Point, IN 46307-3808 2020-11-02
1356955132 Adam Grieve Psychologist 213 Buckingham Dr, Indianapolis, IN 46208-3625 2020-08-31
1831725498 Alex Brewer Psychologist 925 N Meridian St Ste 100, Sunman, IN 47041-7771 2020-03-16
1174153332 Scott Edmund Andrews Psychologist 105 S 225 E, Flora, IN 46929-9688 2020-01-16
1588208086 Amanda Hudson Psychologist 8650 Columbia Ave, Munster, IN 46321-2518 2019-10-29
1306301387 Benjamin A Cunningham Psychologist 1200 S Clinton St, Fort Wayne, IN 46802-3504 2019-02-05
1770048811 Jacqueline Ansburg Psychologist 1767 Glasgow St, Valparaiso, IN 46385-7360 2019-02-03
1154807360 Lindsey Wixson Psychologist 15440 Mystic Rock Dr, Carmel, IN 46033-8146 2018-07-11
1669981411 Catherine Carpenter Psychologist 8948 Chestnut Ln, Munster, IN 46321-3224 2017-09-25
1942729058 Cheryl Ann Sorrels Psychologist 8514 Parkview Ave, Munster, IN 46321-2032 2017-09-11
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Competitor

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City SAINT JOHN
Zip Code 46373

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Dataset Information

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.

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