Healthcare Provider Details

I. General information

NPI: 1013823673
Provider Name (Legal Business Name): CHAIM GRUNWALD LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 JEFFERSON AVE UNIT 215
SPRING VALLEY NY
10977-2053
US

IV. Provider business mailing address

26 JEFFERSON AVE UNIT 215
SPRING VALLEY NY
10977-2053
US

V. Phone/Fax

Practice location:
  • Phone: 845-548-6657
  • Fax:
Mailing address:
  • Phone: 845-548-6657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number018380
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: