Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer R Gruba, PHD

Individual provider Marriage & Family Therapist · NPI 1033413646

Jennifer R Gruba, PHD is a Clinical Psychologist in Portage, Wisconsin. Qualified in 2023, 3 years ago. Practices with Community Service Associates, SC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2901 Hunters Trl
Portage, WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 742-4087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2625 Military Rd, Cross Plains, WI 53528-9687 — (608) 617-6344

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5149-057 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 867-124 (WI)

Record details

NPI number1033413646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 23, 2010
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Service Associates, Sc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portage