Healthcare Provider Details

I. General information

NPI: 1891646170
Provider Name (Legal Business Name): GRIMALDI PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 PALMETTO ST APT 1L
RIDGEWOOD NY
11385-3171
US

IV. Provider business mailing address

2310 JERICHO TPKE # 1078
GARDEN CITY PARK NY
11040-4721
US

V. Phone/Fax

Practice location:
  • Phone: 646-543-1204
  • Fax:
Mailing address:
  • Phone: 646-543-1204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE JOSEPHINE GRIMALDI
Title or Position: OWNER/PSYCHOLOGIST
Credential: PHD
Phone: 646-543-1204