MR. JORGE EDUARDO GRANDELA (NPI# 1376573469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376573469 |
| Entity Type | Individual |
| Full Name | MR. JORGE EDUARDO GRANDELA |
| Credential | MA/PSYD |
| Practice Address |
79 E. Windsor Blvd Windsor VA 23487 |
| Mailing Address |
3930 Seeman Rd Virginia Beach VA 23452-2457 |
| Practice Telephone | 7572429988 |
| Mailing Telephone | 7574988138 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0718000171 | VA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710101723 | VA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701002347 | VA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0717001060 | VA | Behavioral Health & Social Service Providers |
| Street Address |
79 E. WINDSOR BLVD |
| City | WINDSOR |
| State | VA |
| Zip Code | 23487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310529 | Traveling Mercy Care,llc | Non-emergency Medical Transport (VAN) | 10510 Twin Ponds Dr., Windsor, VA 23487 | 2017-08-03 |
| 1811201015 | Matters of The Heart | Respite Care | 11 B East Windsor Blvd., Windsor, VA 23487 | 2010-07-29 |
| 1245495548 | Tonya D Alexander | Student in an Organized Health Care Education/Training Program | 11381 Lena Rose St, Windsor, VA 23487 | 2008-07-25 |
| 1710941166 | Nakorn Apakupakul | Family Medicine | 20 E Windsor Blvd, Windsor, VA 23487 | 2006-04-13 |
| 1962926741 | Sara Karker | Physical Therapist | 23352 Courthouse Hwy, Windsor, VA 23487 | 2017-08-02 |
| 1114473485 | Robin Marie Schussler | Physical Therapy Assistant | 23352 Courthouse Hwy, Windsor, VA 23487 | 2016-08-28 |
| 1770057069 | Margaret Aston | Registered Nurse | 28208 Buckhorn Dr, Windsor, VA 23487-4215 | 2019-01-19 |
| 1972545606 | Sp Windsor Health Investors, LLC | Skilled Nursing Facility | 23352 Courthouse Hwy, Windsor, VA 23487-5333 | 2006-06-10 |
| 1023634706 | Austin John Martinelli | Occupational Therapist | 23352 Courthouse Hwy, Windsor, VA 23487-5333 | 2020-06-18 |
| 1184240020 | Shelby Celine Clutter | Speech-Language Pathologist | 23352 Courthouse Hwy, Windsor, VA 23487-5333 | 2020-06-16 |
| Find all providers in zip 23487 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374880 | Deborah J King | Counselor | 7961 Chub Rd, Windsor, OH 44099-9706 | 2020-04-06 |
| 1063920114 | Nardine Staroverov | Counselor | 32 Maple Ave Ste C, Windsor, CT 06095-2922 | 2018-01-10 |
| 1295261667 | Johnny Anthony Reyes | Counselor | 283 Shiloh Rd, Windsor, CA 95492-9608 | 2017-05-04 |
| 1427596659 | Maria Amour Jefferson | Counselor | 29 Maude Cir, Windsor, CT 06095-3646 | 2017-02-08 |
| 1265781256 | Marcia Ximena Tapia | Counselor | 114 Rainbow Rd, Windsor, CT 06095-1164 | 2012-09-05 |
| 1326312620 | Rick A. Combs | Counselor | 1220 W Ash St Unit D, Windsor, CO 80550-4611 | 2012-03-04 |
| 1841322021 | Lily Maino | Counselor | 8010 S County Road 5 Unit 201, Windsor, CO 80528-9004 | 2007-03-12 |
| 1437293651 | Gail Bjerklie | Counselor | 1016 Hemlock Dr, Windsor, CO 80550-4934 | 2007-02-19 |
| 1346305745 | Thomas Andrew Cummings | Counselor | 41 Scott Ln, None, Windsor, CT 06095-2440 | 2006-12-26 |
| 1356426696 | Sandi Yvonne Squicquero | Counselor | 1180 Main St, #5b, Windsor, CO 80550-4709 | 2006-10-26 |
| Find all providers in WINDSOR | ||||
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| 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.