Susan A. Grossbard, PSY.D.
NPI 1164631313ActiveIndividual· Psychologist· Wayne, NJ
Psychologist (PSY.D.) in Wayne, New Jersey, licensed in NJ, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1164631313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Feb 2, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 35S100385300 | NJ |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 35SI00385300 | NJ |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 35SI00385300 | NJ |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 35SI00385300 | NJ |
| Psychologist, School | 103TS0200X | 35SI00385300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NJ) |
|---|
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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