MOLLY C GROSSMAN (NPI# 1265429682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265429682 |
| Entity Type | Individual |
| Full Name | MOLLY C GROSSMAN |
| Credential | PH.D. |
| Practice Address |
1700 Education Ave Punta Gorda FL 33950 |
| Mailing Address |
708 Eagle Point Dr Venice FL 34285 |
| Practice Telephone | 9416398300 |
| Practice Fax Number | 9416396831 |
| Mailing Telephone | 9414861628 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2009-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PY7456 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY7456 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4722 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 768242500 | 05 |
| Street Address |
1700 EDUCATION AVE |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638164 | Genoa Healthcare, LLC | Pharmacy | 1700 Education Ave, Bldg A, Suite P, Punta Gorda, FL 33950-6222 | 2020-01-15 |
| 1700420668 | Kristen Nicole Keen | Nurse Practitioner | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2019-11-04 |
| 1437707122 | Richard Meredith | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2019-08-27 |
| 1427617166 | Rebecca Anne Hansen | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2019-06-06 |
| 1346719986 | Tammy Allshouse | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2018-11-13 |
| 1629554852 | Marlo Felice Uzzle | Social Worker | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2018-07-11 |
| 1306340377 | Beatrice Braswell | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2018-03-22 |
| 1194248344 | Amanda Wood | Social Worker | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2017-07-19 |
| 1487175709 | Derick Allen Duston | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2017-06-28 |
| 1396281911 | Peta Gay Bezek | Nurse Practitioner | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2017-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548537574 | Stanley Lynn Dull | Psychologist | 2215 Palm Tree Dr, Punta Gorda, FL 33950-5007 | 2011-11-18 |
| 1073877643 | Daniel B Goldman Phd, LLC | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
Please comment or provide details below to improve the information on MOLLY C GROSSMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.