PHILLIP MICHAEL GROB M. D.
NPI 1588725253
Psychiatry & Neurology - Geriatric Psychiatry in Santa Rosa, CA

Q: What is Phillip Grob's NPI number?

The NPI number for Phillip Grob is 1588725253. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Phillip Grob's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Q: Is Phillip Grob enrolled in Medicare?

No. Phillip Grob has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Phillip Grob was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 13, 2006Opted out of Medicare · through Apr 1, 2028

339 COLLEGE AVE, SANTA ROSA, CA 95401(707) 573-0223(707) 573-0222 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Phillip Michael Grob M. D. NPPES

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

PHILLIP MICHAEL GROB M. D. (NPI 1588725253) is an individual geriatric psychiatry provider in Santa Rosa, California, licensed in California (G85079) and active in the NPI registry since December 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1588725253

Entity TypeIndividualMale

Primary Taxonomy2084P0805X

Provider Legal NamePHILLIP MICHAEL GROBCredential: M. D.

Location Address339 COLLEGE AVESanta Rosa, CA 95401-5117

Mailing Address3322 Chanate RdSanta Rosa, CA 95404-1708

Phone(707) 573-0223

Fax(707) 573-0222

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateJuly 8, 2014

✔ NPI 1588725253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0805X

License✔ Licensed in CA · G85079

Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

339 COLLEGE AVE, Santa Rosa, CA 95401

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Other Identifiers 1

Medicare UPING52632CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Phillip Michael Grob M. D. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

MRS. MONO CACY-MCFARLAND LPT

Licensed Psychiatric Technician

339 COLLEGE AVE
SANTA ROSA, CA 95401

Sonoma County (707) 568-2800

CHRISTIANE GUDE

Student in an Organized Health Care Education/Training Program

339 COLLEGE AVE
SANTA ROSA, CA 95401

Sonoma County (707) 568-2800

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 Phillip Grob's NPI number?

The NPI number for Phillip Grob is 1588725253. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Phillip Grob located?

Phillip Grob practices at 339 College Ave, Santa Rosa, CA 95401. The listed phone number is (707) 573-0223.

What is Phillip Grob's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Phillip Grob enrolled in Medicare?

No. Phillip Grob has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Phillip Grob was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.