Theta P Gribbins, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2011037832 Issued in MO

Practice address

60 Hill Pointe CT Ste 206
Saint Charles, MO 63303-4099

Phone

(636) 493-9912

Fax

(636) 493-9913

NPI assigned

Oct 28, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Path DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Charles, MO
  • NPI 1184412082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1003192535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HILL POINTE CT STE 206",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034099",
            "telephone_number": "636-493-9912",
            "fax_number": "636-493-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HILL POINTE CT STE 206",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034099",
            "telephone_number": "636-493-9912",
            "fax_number": "636-493-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBBINS",
        "first_name": "THETA",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011032755",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2011037832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAINT LOUIS BEHAVIORAL MEDICINE INSTITUTE",
            "identifier": "232812942",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST CHARLES PSYCH TESTING & THERAPY",
            "identifier": "46-0760135",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie Graves, MA, LMFT
• Leslie Gravlin, CRNA
• Gray Matters Alliance LLC
• Greenbriar Group, LLC
• Bradley R Gregg, M.D.
• Erika Grider, PTA
• Carolyn Griffin, D.C.
• Catherine Griffin, NP
• Tequila M Griffin
• Lydia Kate Griffith

• Clinical Psychologist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.