DR. MARY JEANNE GROESBECK DNSC ARNP CS NPI 1275628760

NPI Information

  • NPI: 1275628760
  • Provider Name: DR. MARY JEANNE GROESBECK, DNSC, ARNP, CS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2385 NW EXECUTIVE CENTER DR
    STE 100
    BOCA RATON, FL
    ZIP 33431
  • Phone: (561) 350-3644

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NPI Details

DR. Mary Jeanne Groesbeck, DNSC, ARNP, CS is a psychiatric/mental health nurse practitioner in Boca Raton, FL. DR. Mary Jeanne Groesbeck, DNSC, ARNP, CS NPI is 1275628760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2385 NW EXECUTIVE CENTER DR
STE 100
BOCA RATON, FL
ZIP 33431-579
Phone: (561) 350-3644
Fax: (561) 245-7374

The enumeration date for this NPI number is 10/3/2006 and was last updated on 1/6/2012.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP3135372FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1303903000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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