Chris Grundy (NPI# 1629474010, PAC ID# 6103118229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1629474010 |
| PAC ID by PECOS | 6103118229 |
| Professional Enrollment ID | I20160711002267 |
| Full Name | Chris Grundy |
| Address |
123 S Broad St Suite 2540 Philadelphia PA 19109-1029 |
| Phone Number | 2153560340 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 123 S Broad St, Suite 2540, Philadelphia, PA 19109-1029 | 2153560340 |
| Street Address |
123 S BROAD ST SUITE 2540 |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19109-1029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrian Chiu | Psychologist, Clinical | 123 S Broad St, Suite 1948, Philadelphia, PA 19109-1029 | |
| Edward Hicks | Psychiatry | 123 S Broad St, Philadelphia, PA 19109-1029 |
| City | PHILADELPHIA |
| Zip Code | 19109 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PHILADELPHIA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Chris Grundy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.