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NPI 1891646170

NPI 1891646170 : GRIMALDI PSYCHOLOGICAL SERVICES, PLLC : RIDGEWOOD, NY

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General NPI Number Information
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    NPI Number           |    1891646170
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRIMALDI PSYCHOLOGICAL SERVICES, PLLC 
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Dates
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    Enumeration Date     |    02/04/2026
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    Last Update Date     |    02/04/2026
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Provider Practice Location Address
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    Address Line         |    2025 PALMETTO ST APT 1L 
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    City                 |    RIDGEWOOD
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    State                |    NY
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    Zip                  |    11385-3171
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    Country              |    US
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    Telephone            |    646-543-1204
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1410 NORTHERN BLVD # 1115 
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    City                 |    MANHASSET
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    State                |    NY
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    Zip                  |    11030-3051
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    Country              |    US
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    Telephone            |    646-543-1204
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PSYCHOLOGIST
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    Name                 |    DR. STEPHANIE JOSEPHINE GRIMALDI 
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    Credential           |    PHD
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    Telephone            |    646-543-1204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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