Curtis Todd Grundy, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

751 Issued in OK

Practice address

1520 North Industrial Rd
Vinita, OK 74301

Phone

(918) 629-8664

Fax

(918) 782-4301

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 9, 2024 through May 9, 2028

Medicare enrollment (NPD)

Not 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.

• Grundy Psychological Services, P.C.

  • Health Service Psychologist
  • Ketchum, OK
  • NPI 1457827016
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043393234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010426",
            "telephone_number": "918-629-8664",
            "fax_number": "918-782-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NORTH INDUSTRIAL RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "74301",
            "telephone_number": "918-629-8664",
            "fax_number": "918-782-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDY",
        "first_name": "CURTIS",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack H Greiner, O.D
• Laurie Jean Greiner, KAYLA GREINER
• Randy Vincent Grimes
• Michelle Grimmer
• Traci Lynn Grooms
• Elizabeth Mollette Grundy, PH.D.
• Morgan Lynn Guernsey, DPT
• Amanda May Gutierrez
• Yvette Gayle Hacker
• Paul G. Haines II, D.D.S.

• Health Service Psychologist in Vinita, OK
• Providers in Vinita, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.