Nova M. Griffith, PH.D., Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLC

Practice address

121 E Broadway Blvd
Johnston City, IL 62951-1602

Phone

(618) 969-2922

NPI assigned

Feb 5, 2021

Organization subpart

Yes

Parent organization

NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Nova Marie Griffith, PHD

Title

Owner/Lisc Clinical Psychologist

Phone

(618) 969-2922

Specialties & licenses 1

Addresses

Part of

Nova M Griffith PHD Psychological Services LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Nova M. Griffith, PH.D., Psychological Services LLC

  • Clinical Psychologist
  • Herrin, IL
  • NPI 1639688724
  NPPES parent name

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1124610670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 8TH ST",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629511539",
            "telephone_number": "618-969-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BROADWAY BLVD",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629511602",
            "telephone_number": "618-969-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLC",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "NOVA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/LISC CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "618-969-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Johnston City, IL
• Providers in Johnston City, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.