Individual provider Active NPI

Beckie M Grgich, PSYD, PSY

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1073579637
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3041 Issued in CO
Practice address
14960 Woodcarver Rd
Colorado Springs, CO 80921-2370
Phone
(193) 448-7797
Fax
(193) 139-2107
NPI assigned
Apr 24, 2006
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4845018-2501 UT
Psychologist 103T00000X P40413 NV
Psychologist 103T00000X 6176 FL
Psychologist 103T00000X 3041 CO Primary

Addresses

Primary practice location

14960 Woodcarver Rd
Colorado Springs, CO 80921-2370

Mailing address

PO Box 3392
Monument, CO 80132-3392
Phone (719) 344-8779

Other identifiers 1

IdentifierTypeStateIssuer
100502768MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 28, 2019 through Jan 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6176FLMDPsychologist
P40413NVMDPsychologist
4845018-2501UTMDPsychologist
3041COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Body Insights Current Accepting new patients
Grgich PC Psychologist PastSince May 3, 2004 Accepting new patients
Beckie M. Grgich PastSince Jan 1, 1990 Accepting new patients
Beckie M Grgich Psychologist PastSince Jan 1, 1990 Accepting new patients

Locations

14960 Woodcarver Rd
Colorado Springs, CO 80921
Phone (719) 344-8779

14241 S Redwood Rd
Ste 152
Bluffdale, UT 84065

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1073579637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3392",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801323392",
            "telephone_number": "719-344-8779",
            "fax_number": "719-313-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14960 WOODCARVER RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212370",
            "telephone_number": "193-448-7797",
            "fax_number": "193-139-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRGICH",
        "first_name": "BECKIE",
        "middle_name": "M",
        "credential": "PSYD, PSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "4845018-2501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "P40413",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "6176",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502768",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.