Individual provider Active NPI

Kathryn Kim Grueninger, PSY.D.

  • Clinical Psychologist
  • Winchester, VA
National Provider Identifier
1083452734
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
08100008581 Issued in VA
Practice address
333 W Cork St Unit 230
Winchester, VA 22601-3871
Phone
(540) 536-1120
Fax
(540) 536-5139
NPI assigned
Jul 17, 2024
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 08100008581 VA Primary

Addresses

Primary practice location

333 W Cork St Unit 230
Winchester, VA 22601-3871

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kgrueninger1430012@ValleyHealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114000122 VA Practitioner - Clinical Psychologist 8426582347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

333 W Cork St
Winchester Rehab
Winchester, VA 22601-3870
Phone (540) 536-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Sep 30, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Sep 30, 2024 Accepting new patients

Locations

220 Campus Blvd
Ste 320
Winchester, VA 22601

333 W Cork St
Winchester, VA 22601
Phone (540) 536-5114

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

333 W Cork St
Unit 230
Winchester, VA 22601
Phone (540) 536-1120

Interoperability endpoints

  • Direct secure messaging: kgrueninger1430012@valleyhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1083452734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST UNIT 230",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013871",
            "telephone_number": "540-536-1120",
            "fax_number": "540-536-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENINGER",
        "first_name": "KATHRYN",
        "middle_name": "KIM",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "08100008581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kgrueninger1430012@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 W Cork St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.