Dr Mark Vincent Grudberg, PHD - Medicare Psychologist in Maspeth, NY

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Dr Mark Vincent Grudberg, PHD is a medicare enrolled "Psychologist - Clinical" provider in Maspeth, New York. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 6083 71st St, Maspeth, New York. You can reach out to his office (for appointments etc.) via phone at (888) 342-6002.

Dr Mark Vincent Grudberg is licensed to practice in New York (license number 018098) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932339157.

Contact Information

Dr Mark Vincent Grudberg, PHD
6083 71st St,
Maspeth, NY 11378-2913
(888) 342-6002
(347) 344-6594

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark Vincent Grudberg
GenderMale
SpecialityClinical Psychologist
Experience18 Years
Location6083 71st St, Maspeth, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Vincent Grudberg graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1932339157
  • Provider Enumeration Date: 07/22/2009
  • Last Update Date: 03/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7719109735
  • Enrollment ID: I20141106001894

Medical Identifiers

Medical identifiers for Dr Mark Vincent Grudberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932339157NPI-NPPES
03272364MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 018098 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Vincent Grudberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Vincent Grudberg, PHD
Po Box 604434,
Bayside, NY 11360-4434

Ph: (888) 342-6002		Dr Mark Vincent Grudberg, PHD
6083 71st St,
Maspeth, NY 11378-2913

Ph: (888) 342-6002

Reviews and Comments


Psychologist in Maspeth, NY

Dr. Connie Jasmine Castro, PSY.D., NCSP
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Phone: 718-396-6739    
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Practice Location: 6922 52nd Dr, Maspeth, NY 11378
Phone: 917-270-8166    

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