Bill H Grimm, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

6912 Main St
Suite 29
Downers Grove, IL 60516-3447

Phone

(630) 963-9381

Fax

(815) 254-0635

NPI assigned

Jun 5, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053514489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 SHREFFLER DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605857867",
            "telephone_number": "815-254-0634",
            "fax_number": "815-254-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 MAIN ST",
            "address_2": "SUITE 29",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163447",
            "telephone_number": "630-963-9381",
            "fax_number": "815-254-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "BILL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PROVIDER NO.",
            "identifier": "281045",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL PROVIDER NUMBER",
            "identifier": "022-73039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuriy Gribovich, S.A.
• John G Grieco, MD
• Robert Griesemer, M.D.
• Monika Griffel, MHS, CCC-SLP
• Brooke Griffin, PHARMD
• Kelly Grisafe, M.A. CF-SLP
• Shannon Gritzenbach, MD
• Keriann Groen, DPT
• Gary M Grosel, MD
• Grove Dental Associates., P.C.

• Clinical Psychologist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Clinical Psychologist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.