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Madeline Ann Gronotte

Psychologist - School β€’ Kettering, OH

Active NPI 1063928034 Individual Practitioner Female Practitioner
Practice location in NPPES

580 Lincoln Park Blvd Ste 105
Kettering, OH 454293556

Call 9374991435 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

580 Lincoln Park Blvd Ste 105

Kettering, OH 454293556

Telephone 9374991435
Organization at the Same NPPES Address or Phone
Kettering City School District Facility NPI 1205035177

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kettering and Ohio

8 active clinicians are listed under Psychologist - School with a practice address in Kettering, OH (2,146 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-10
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2846675 (OH)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 10, 2022

Registered at 580 LINCOLN PARK BLVD STE 105, KETTERING, OH 454293556 (Tel: 9374991435)

πŸ“
Updated Business Mailing Address August 10, 2022

Registered at 580 LINCOLN PARK BLVD STE 105, KETTERING, OH 454293556 (Tel: 9374991435)

πŸ‘€
Provider Name / Credentials Updated August 10, 2022

Recorded as MADELINE GRONOTTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Psychologist

βœ…
NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 28, 2017

Registered at 187 W SCHROCK RD, WESTERVILLE, OH 430812890 (Tel: 6143557500)

πŸ“
Business Mailing Address (Initial Record) December 28, 2017

Registered at DEPT. 781625, PO BOX 78000, DETROIT, MI 482781625 (Tel: 6143557500)

πŸ‘€
Provider Name / Credentials (Initial Record) December 28, 2017

Recorded as MADELINE GORNOTTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 28, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063928034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2017
Last Update: August 10, 2022
Sole Proprietor: No

Mailing Address

580 Lincoln Park Blvd Ste 105

Kettering, OH 454293556

Phone: 9374991435

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.