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

Mr. Richard Alexander Groll, PMHNP

Individual provider Registered Nurse · NPI 1255838199

Mr. Richard Alexander Groll, PMHNP is a Nurse Practitioner in Astoria, New York. Qualified in 2021, 5 years ago. Practices with Long Island Consultation Center Inc, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

3709 20th Rd
Astoria, NY 11105-1624
Phone: (347) 531-0987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403406 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 701891 (NY)

Record details

NPI number1255838199
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedApril 8, 2018
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Long Island Consultation Center Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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