AMANDA GRODEWALD-ADLER PSY.D. PLLC NPI 1154820553

NPI Information

  • NPI: 1154820553
  • Provider Name: AMANDA GRODEWALD-ADLER, PSY.D., PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 33 WALT WHITMAN RD STE 240W
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (631) 209-5343

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NPI Details

AMANDA GRODEWALD-ADLER, PSY.D., PLLC is a mental health (including community mental health center) clinic center in Huntington Station, NY. AMANDA GRODEWALD-ADLER, PSY.D., PLLC NPI is 1154820553. The provider is registered as an organization entity type.

The provider's business location address is:

33 WALT WHITMAN RD STE 240W
HUNTINGTON STATION, NY
ZIP 11746-640
Phone: (631) 209-5343

The provider's authorized official is Amanda Lea Grodewald-adler .
The authorized official title is Psychologist and has the following contact phone number (631) 209-5343.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 9/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)019388NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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