DR. FREDERICK DANIEL GROSSMAN PHD
NPI 1871673509
Psychologist - Clinical in Portland, OR

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1130 NW 12TH AVE APT 614, PORTLAND, OR 97209(503) 505-7227(503) 564-0739 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Frederick Daniel Grossman Phd NPPES

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

DR. FREDERICK DANIEL GROSSMAN PHD (NPI 1871673509) is an individual clinical provider in Portland, Oregon, licensed in Missouri (PSY00897) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1977).

NPPES Registry Identity

NPI1871673509
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. FREDERICK DANIEL GROSSMANCredential: PHD
Location Address1130 NW 12TH AVE APT 614Portland, OR 97209-2860
Mailing Address1130 Nw 12th Ave Apt 614Portland, OR 97209-2860 · (503) 505-7227 · Fax (503) 564-0739
Fax(503) 564-0739
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1977
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1871673509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MO · PSY00897
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1130 NW 12TH AVE APT 614, Portland, OR 97209

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Frederick Daniel Grossman Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183712367
PECOS Enrollment IDI20100208000802
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
375 services152 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
154 services153 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
150 services149 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
54 services39 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
1130 NW 12TH AVE APT 614
PORTLAND, OR 97209
Clinic/Center (Mental Health (Including Community Mental Health Center))
1130 NW 12TH AVE APT 614
PORTLAND, OR 97209
Psychologist (Clinical)
1130 NW 12TH AVE APT 614
PORTLAND, OR 97209

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 Frederick Grossman's NPI number?

The NPI number for Frederick Grossman is 1871673509. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Frederick Grossman located?

Frederick Grossman practices at 1130 NW 12th Ave Apt 614, Portland, OR 97209. The listed phone number is (503) 505-7227.

What is Frederick Grossman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Frederick Grossman enrolled in Medicare?

Yes. Frederick Grossman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Frederick Grossman accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Frederick Grossman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frederick Grossman was last updated on September 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.