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ELLEN MIRIAM GRUNBLATT MD, LCPC
NPI 1114019759
Counselor - Professional in Farmington, ME

Active since September 29, 2006PECOS Enrolled
672 WILTON RD, FARMINGTON, ME 04938(207) 778-5792 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Miriam Grunblatt Md, Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN MIRIAM GRUNBLATT MD, LCPC (NPI 1114019759) is an individual professional provider in Farmington, Maine, licensed in Maine (XL3022) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114019759
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELLEN MIRIAM GRUNBLATTCredential: MD, LCPC
Location Address672 WILTON RDFarmington, ME 04938-6138
Mailing Address672 Wilton RdFarmington, ME 04938-6138 · (207) 778-5792
Phone(207) 778-5792
Sole ProprietorYes
Enumeration DateSeptember 29, 2006
Last NPPES UpdateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1114019759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · XL3022
672 WILTON RD, Farmington, ME 04938
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Miriam Grunblatt Md, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA ANN LANOCE APRN FNP
Nurse Practitioner (Family)
672 WILTON RD
FARMINGTON, ME 04938
Franklin County (207) 778-9531
WILSON STREAM FAMILY PRACTICE LLC PA
Family Medicine
672 WILTON RD
FARMINGTON, ME 04938
Franklin County (207) 778-9531
KATELYN M BACHELDER
Student in an Organized Health Care Education/Training Program
672 WILTON RD
FARMINGTON, ME 04938
Franklin County (207) 778-9531
STEPHEN BIEN MD
Family Medicine
672 WILTON RD
FARMINGTON, ME 04938
Franklin County (207) 778-9531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Grunblatt's NPI number?

The NPI number for Ellen Grunblatt is 1114019759. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Ellen Grunblatt located?

Ellen Grunblatt practices at 672 Wilton Rd, Farmington, ME 04938. The listed phone number is (207) 778-5792.

What is Ellen Grunblatt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ellen Grunblatt enrolled in Medicare?

Yes. Ellen Grunblatt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Grunblatt was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.