BURT B GRENELL PHD PLLC (NPI# 1760838874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760838874 |
| Entity Type | Organization |
| Organization Name | BURT B GRENELL PHD PLLC |
| Practice Address |
1226 31st St Nw Washington DC 20007-3402 |
| Practice Telephone | 2023372999 |
| Mailing Telephone | 2023372999 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | DR. BURT B GRENELL (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2023372999 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PSY1552 | DC | Ambulatory Health Care Facilities |
| Street Address |
1226 31ST ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578751269 | Lewis Alan Winkler | Psychiatry & Neurology | 1226 31st St Nw, Washington, DC 20007-3402 | 2007-10-09 |
| 1144452244 | Burt B. Grenell | Psychologist | 1226 31st St Nw, Washington, DC 20007-3402 | 2009-08-22 |
| 1508030214 | Harriet Rebecca Swankin | Social Worker | 1226 31st St Nw, Washington, DC 20007-3402 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1710503784 | Inner Banks Counseling Inc. | Clinic/Center | 305 Pine Ln, Washington, NC 27889-9674 | 2020-06-24 |
| 1023634573 | Cqc Healthcare, LLC | Clinic/Center | 1100 New Jersey Ave Se # 2145, Washington, DC 20003-3302 | 2020-06-21 |
| 1083237457 | Unity Health Care, Inc. | Clinic/Center | 1501 Rhode Island Ave Nw, Washington, DC 20005-5504 | 2020-05-20 |
| 1477174803 | Unity Health Care, Inc. | Clinic/Center | 10 I St Sw, Washington, DC 20024-4266 | 2020-04-27 |
| 1922627546 | Unity Health Care, Inc | Clinic/Center | 2305 New York Ave Ne, Washington, DC 20002-1905 | 2020-04-14 |
| 1033738653 | Unity Health Care, Inc | Clinic/Center | 1917 Bladensburg Rd Ne, Washington, DC 20002-1811 | 2020-04-14 |
| 1376162040 | Unity Health Care, Inc. | Clinic/Center | 1615 New York Ave Ne, Washington, DC 20002-1725 | 2020-04-13 |
| 1518427970 | Patrons Healthcare Services | Clinic/Center | 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324 | 2019-03-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
Please comment or provide details below to improve the information on BURT B GRENELL PHD PLLC.
| 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.