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
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2385 NW EXECUTIVE CENTER DR
STE 100
BOCA RATON, FL
ZIP 33431
Phone: (561) 350-3644
Get Directions

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 NPI 1275628760 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP3135372	FLORIDA	Yes

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
1	303903000	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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