AMANDA GRODEWALD-ADLER, PSY.D., PLLC
NPI 1154820553
Clinic/Center - Mental Health (Including Community Mental Health Center) in Huntington Station, NY

Active since February 12, 2018
33 WALT WHITMAN RD STE 240W, HUNTINGTON STATION, NY 11746(631) 209-5343 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2025, Aug 30, 2018, Feb 12, 2018 (3 updates tracked since 2018).

About Amanda Grodewald-adler, Psy.d., Pllc NPPES

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

AMANDA GRODEWALD-ADLER, PSY.D., PLLC (NPI 1154820553) is a healthcare organization registered as a mental health (including community mental health center) in Huntington Station, New York and active in the NPI registry since February 2018. The organization lists Amanda Lea Grodewald-adler, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154820553
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAMANDA GRODEWALD-ADLER, PSY.D., PLLC
Location Address33 WALT WHITMAN RD STE 240WHuntington Station, NY 11746-3640
Mailing Address33 Walt Whitman Rd Ste 240wHuntington Station, NY 11746-3640 · (631) 209-5343
Organization SubpartNo
Authorized OfficialAmanda Lea Grodewald-adlerPsychologist · (631) 209-5343
Enumeration DateFebruary 12, 2018
Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1154820553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in NY · 019388
33 WALT WHITMAN RD STE 240W, Huntington Station, NY 11746

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Grodewald-adler, Psy.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amanda Grodewald-Adler, Psy.D., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1144520768
33 WALT WHITMAN RD STE 240W
Huntington Station, NY 11746
(631) 533-2708
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Amanda Grodewald-Adler, Psy.D., PLLC's NPI number?

The NPI number for Amanda Grodewald-Adler, Psy.D., PLLC is 1154820553. It was assigned to this organization in the NPPES registry on February 12, 2018.

Where is Amanda Grodewald-Adler, Psy.D., PLLC located?

Amanda Grodewald-Adler, Psy.D., PLLC is located at 33 Walt Whitman Rd Ste 240W, Huntington Station, NY 11746. The listed phone number is (631) 209-5343.

What is Amanda Grodewald-Adler, Psy.D., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Amanda Grodewald-Adler, Psy.D., PLLC enrolled in Medicare?

Yes. Amanda Grodewald-Adler, Psy.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amanda Grodewald-Adler, Psy.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Amanda Grodewald-Adler, Psy.D., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Grodewald-Adler, Psy.D., PLLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.