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DAVID MITCHELL GRODBERG MD
NPI 1447469606
Psychiatry & Neurology - Child & Adolescent Psychiatry in New Haven, CT

Active since May 22, 2007PECOS Enrolled
651 PROSPECT ST, NEW HAVEN, CT 06511(212) 369-7094 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Mitchell Grodberg Md NPPES

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

DAVID MITCHELL GRODBERG MD (NPI 1447469606) is an individual child & adolescent psychiatry provider in New Haven, Connecticut, licensed in Connecticut (036480) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447469606
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDAVID MITCHELL GRODBERGCredential: MD
Location Address651 PROSPECT STNew Haven, CT 06511-2003
Mailing Address651 Prospect StNew Haven, CT 06511-2003 · (212) 369-7094
Phone(212) 369-7094
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 14, 2015
✔ NPI 1447469606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CT · 036480
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 202414 (NY), 036480 (CT)
651 PROSPECT ST, New Haven, CT 06511
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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)

David Mitchell Grodberg Md 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

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

KATE JEROME LCSW
Social Worker (Clinical)
651 PROSPECT ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 401-2066

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 David Grodberg's NPI number?

The NPI number for David Grodberg is 1447469606. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is David Grodberg located?

David Grodberg practices at 651 Prospect St, New Haven, CT 06511. The listed phone number is (212) 369-7094.

What is David Grodberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is David Grodberg enrolled in Medicare?

Yes. David Grodberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Grodberg was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.