DR. MARK VINCENT GRUDBERG PH.D.
NPI 1932339157
Psychologist - Clinical in Maspeth, NY

Q: What is Mark Grudberg's NPI number?

The NPI number for Mark Grudberg is 1932339157. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Q: What is Mark Grudberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Grudberg was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 22, 2009PECOS Enrolled

6083 71ST ST, MASPETH, NY 11378(888) 342-6002(347) 344-6594 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Mark Vincent Grudberg Ph.d. NPPES

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

DR. MARK VINCENT GRUDBERG PH.D. (NPI 1932339157) is an individual clinical provider in Maspeth, New York, licensed in New York (018098) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932339157

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK VINCENT GRUDBERGCredential: PH.D.

Location Address6083 71ST STMaspeth, NY 11378-2913

Mailing AddressPo Box 604434Bayside, NY 11360-4434 · (888) 342-6002 · Fax (347) 344-6594

Phone(888) 342-6002

Fax(347) 344-6594

Sole ProprietorYes

Enumeration DateJuly 22, 2009

Last NPPES UpdateMarch 5, 2012

✔ NPI 1932339157 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 NY · 018098

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.

6083 71ST ST, Maspeth, NY 11378

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Other Identifiers 1

Medicaid03272364NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Vincent Grudberg Ph.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11378 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

$201.98 typical visit price

range $67.00 – $201.98

Typical copayment $50.49 (range $16.75 – $50.49)

Most-billed visit code 99205

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

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.

PEDIATRIC PSYCHOLOGY OF NEW YORK, PLLC

Psychologist (Clinical)

6083 71ST ST
MASPETH, NY 11378

Queens County (888) 342-6002

JOSEPH S SAVITT M.D.

Pediatrics

6083 71ST ST
MASPETH, NY 11378

Queens County (718) 446-7562

NANCY CHIANG, MD

Clinic/Center (Primary Care)

6083 71ST ST
MASPETH, NY 11378

Queens County (718) 446-7562

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 Mark Grudberg's NPI number?

The NPI number for Mark Grudberg is 1932339157. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Mark Grudberg located?

Mark Grudberg practices at 6083 71st St, Maspeth, NY 11378. The listed phone number is (888) 342-6002.

What is Mark Grudberg's specialty?

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

Is Mark Grudberg enrolled in Medicare?

Yes. Mark Grudberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Grudberg was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.