ROBERT A GRILLO JR. (NPI# 1770565566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770565566 |
| Entity Type | Individual |
| Full Name | ROBERT A GRILLO JR. |
| Credential | M.D. |
| Practice Address |
1 Wahoo Ave Groton CT 06349-2324 |
| Practice Telephone | 8606944966 |
| Practice Fax Number | 8606943388 |
| Mailing Telephone | 8606944966 |
| Mailing Fax Number | 8606943388 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
26488 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001264887 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427177179 | Robert Grillo | Dentist | 8404 155th Ave, Howard Beach, NY 11414-2217 | 2007-03-27 |
| 1043247885 | Robert Michael Grillo | Dentist | 47 Burnside Ave, East Hartford, CT 06108-3405 | 2006-06-27 |
| Street Address |
1 WAHOO AVE |
| City | GROTON |
| State | CT |
| Zip Code | 06349-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043207004 | Matthew Braden Burns Miller | Dentist | 1 Wahoo Ave, Groton, CT 06349 | 2005-10-04 |
| 1063027407 | Jimmy Nazih Suliman | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2020-09-12 |
| 1790395242 | Duc-nhan Nguyen Pham | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2020-08-08 |
| 1770112708 | Amanda Kathleen Dobyns | Occupational Therapist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2020-04-02 |
| 1831732825 | Cody Clark | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-10-22 |
| 1477103059 | Jordan Taylor Rucinski | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-09-16 |
| 1699335372 | Cynthia Daigneault | Counselor | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-06-16 |
| 1942868211 | Cameron Anson Martin | Military Health Care Provider | 1 Wahoo Ave, Groton, CT 06340 | 2019-06-03 |
| 1104386903 | Zena Sabath | General Practice | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-03-20 |
| 1538636527 | Winston Eugene Young | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2018-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1588127575 | Morgan Ross Jones | Student in an Organized Health Care Education/Training Program | Bx 159 Navsubase Nlon, Groton, CT 06349 | 2019-04-08 |
| 1689179640 | David Saunders | Military Health Care Provider | 159 Navsubase Nlon, Groton, CT 06349 | 2018-03-29 |
| 1013264423 | Dennis Buenaventura Custodio | Military Health Care Provider | 69 Trout Ave, Naval Undersea Medical Institute, Groton, CT 06349 | 2012-08-06 |
| 1609013549 | Nicolas David Mendoza | Military Health Care Provider | Uss Hawaii (ssn 776), Fpo, AE 06349 | 2009-01-14 |
| 1881843084 | Mark Francis Jarvis | Military Health Care Provider | Nssc Nlon, Bldg 76, Groton, CT 06349 | 2008-09-11 |
| 1780882738 | Michael Nutt | Military Health Care Provider | Bldg 517 Taugtog Ave, Navsubscol, Groton, CT 06349 | 2007-07-10 |
| 1497811343 | Keith Benjamin Hoekman | Nurse Practitioner | 1 Wahoo Dr, Groton, CT 06349 | 2006-12-28 |
| 1881604163 | Christina E Toufexis | Pediatrics | 1 Wahoo Drive, Groton, CT 06349 | 2006-08-09 |
| Find all providers in zip 06349 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871741876 | Ernesto Reyes Soriano | Psychiatry & Neurology | 213 Neptune Drive, Groton, CT 06340 | 2008-09-03 |
| 1871563700 | Renu O Kothari | Psychiatry & Neurology | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2006-01-24 |
| 1184605958 | Petra Heike Steinbuchel | Psychiatry & Neurology | 15 Old Lantern Ln # B, Groton, MA 01450-2201 | 2005-11-09 |
| 1255322996 | Mark William Mittauer | Psychiatry & Neurology | Rte 12 Bldg 449, Groton, CT 06349-5600 | 2005-11-02 |
| 1265428544 | Numan Gharaibeh | Psychiatry & Neurology | 1353 Gold Star Hwy, Groton, CT 06340-2739 | 2005-09-22 |
| 1619282191 | Kimberly C. Riquelme | Psychiatry & Neurology | 1353 Gold Star Hwy, Groton, CT 06340 | 2010-08-09 |
| 1841494523 | Christopher Allen Stetler | Psychiatry & Neurology | 1 Wahoo Ave, Groton, CT 06349-2324 | 2007-06-14 |
| 1801832928 | Ismail Yahyazade | Psychiatry & Neurology | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859709 | Andre Burey Md Pllc | Psychiatry & Neurology | 1051 Post Rd Ste 1, Darien, CT 06820-5436 | 2020-07-30 |
| 1245848670 | Behavioral Wellness Partners | Psychiatry & Neurology | 167 Cherry St #101, Milford, CT 06460-3466 | 2020-07-22 |
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1063996221 | Alexia Bajwa Cortella | Psychiatry & Neurology | 5 Wedgewood Ct, Newtown, CT 06470-1792 | 2018-09-23 |
| 1427536101 | Mar Y Sol Mental Health Experts LLC | Psychiatry & Neurology | 50 Federal Rd Ste 1a, Danbury, CT 06810-6129 | 2018-08-03 |
| 1619470655 | Becky Kreuzer Aprn, Pmhnp, LLC | Psychiatry & Neurology | 22 Pine St Ste 205, Bristol, CT 06010-6949 | 2018-03-15 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1659808699 | Psy-visions of Connecticut, LLC | Psychiatry & Neurology | 88 Main St S Ste B201, Southbury, CT 06488-2276 | 2017-05-22 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
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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.