Active NPI
Monty G. Grubb, PHD
- Adult Development & Aging Psychologist
- Wilmington, NC
National Provider Identifier
1083695340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- License
- 1529
- Practice address
- 7946 Market St
Suite 500
Wilmington, NC 28411-8724 - Phone
- (901) 686-4300
- Fax
- (910) 686-3303
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 1529 | NC | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1529 | NC | |
| Clinical Psychologist | 103TC0700X | 1529 | NC |
Addresses
Primary practice location
7946 Market St
Suite 500
Wilmington, NC 28411-8724
Mailing address
7946 Market St
Suite 500
Wilmington, NC 28411-8724
Phone (901) 686-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000492 | Medicaid | NC | |
| 1529 | Other | NC | PSYCHOLOGIST LICENSE NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1529 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083695340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7946 MARKET ST",
"address_2": "SUITE 500",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118724",
"telephone_number": "901-686-4300",
"fax_number": "910-686-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7946 MARKET ST",
"address_2": "SUITE 500",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118724",
"telephone_number": "901-686-4300",
"fax_number": "910-686-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "MONTY",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NC",
"license": "1529",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "1529",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1529",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000492",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE NUMB",
"identifier": "1529",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.