DR. ANDREW MOYER GRUNEBAUM (PH.D.) – Clinical Psychologist, NPI 1386782290
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
586 CLINICAL PSYCHOLOGIST in CT
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Provider Addresses for DR. ANDREW MOYER GRUNEBAUM (PH.D.)
999, Summer Street, Northfield, Stamford, Fairfield County, Connecticut, 06905, United States
SUITE 200
STAMFORD, CT 069055546
Phone: (203) 324-9712
Fax: (203) 357-9030
Type: Location
5, Spoke Drive, Woodbridge, South Central Connecticut Planning Region, Connecticut, 06525, United States
WOODBRIDGE, CT 065251132
Phone: (203) 393-0817
Fax: (203) 357-9030
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110315000141 | I | Clinical Psychologist | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 252 | 12 | $0 |
Insurance plans in this area (ZIP 06905)
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