1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Psychiatry Neurology
  6. NPI Profile

GLENN ROGER GROUSTRA MD
NPI 1972761880
Psychiatry & Neurology - Psychiatry in Ann Arbor, MI

Active since May 28, 2008Opted out of Medicare · through Feb 26, 2027
555 E WILLIAM ST, SUITE 22I, ANN ARBOR, MI 48104(734) 663-5242(734) 663-5242 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn Roger Groustra Md NPPES

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

GLENN ROGER GROUSTRA MD (NPI 1972761880) is an individual psychiatry provider in Ann Arbor, Michigan, licensed in Michigan (4301023788) and active in the NPI registry since May 2008. He has opted out of Medicare through February 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972761880
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGLENN ROGER GROUSTRACredential: MD
Location Address555 E WILLIAM ST, SUITE 22IAnn Arbor, MI 48104
Mailing Address555 E William St, Suite 22iAnn Arbor, MI 48104 · (734) 663-5242 · Fax (734) 663-5242
Phone(734) 663-5242
Fax(734) 663-5242
Sole ProprietorYes
Enumeration DateMay 28, 2008
✔ NPI 1972761880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4301023788
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
555 E WILLIAM ST, Ann Arbor, MI 48104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Glenn Roger Groustra Md 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 February 26, 2015 through February 26, 2027.

Opt-Out Effective DateFebruary 26, 2015
Opt-Out In Effect ThroughFebruary 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 19

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

JAMES B FRANKLIN PH.D.
Psychologist (Clinical)
555 E WILLIAM ST
ANN ARBOR, MI 48104
Washtenaw County (248) 413-7283
DR. CAROL G. BARBOUR PH.D.
Psychologist (Psychoanalysis)
555 E WILLIAM ST, SUITE 23-L
ANN ARBOR, MI 48104
Washtenaw County (734) 665-4374
RONALD M. BENSON, M.D., P.C.
Clinic/Center
555 E WILLIAM ST, SUITE 23D
ANN ARBOR, MI 48104
Washtenaw County (734) 761-5406
DR. MARIA TH. BEYE PHD
Psychologist (Clinical Child & Adolescent)
555 E WILLIAM ST, 24 H
ANN ARBOR, MI 48104
Washtenaw County (734) 747-6502
DR. RONALD M BENSON M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
555 E WILLIAM ST, SUITE 23D
ANN ARBOR, MI 48104
Washtenaw County (734) 761-5406
DR. ALAN SANFORD EISER PH.D.
Psychologist (Clinical)
555 E WILLIAM ST, SUITE 26D
ANN ARBOR, MI 48104
Washtenaw County (734) 761-2772
MS. KAREN E. BAKER LMSW
Social Worker (Clinical)
555 E WILLIAM ST, STE. 25E
ANN ARBOR, MI 48104
Washtenaw County (764) 996-8185
BUSHRA AOUTHMANY DDS
Dentist
555 E WILLIAM ST
ANN ARBOR, MI 48104
Washtenaw County (419) 882-4170

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 Glenn Groustra's NPI number?

The NPI number for Glenn Groustra is 1972761880. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Glenn Groustra located?

Glenn Groustra practices at 555 E William St Suite 22I, Ann Arbor, MI 48104. The listed phone number is (734) 663-5242.

What is Glenn Groustra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Glenn Groustra enrolled in Medicare?

No. Glenn Groustra has opted out of Medicare through February 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Glenn Groustra was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.