Active NPI
Danielle Grover, PHD
- Clinical Psychologist
- Beaverton, OR
National Provider Identifier
1134597990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3413
- Practice address
- 10445 SW Canyon Rd
Beaverton, OR 97005 - Phone
- (971) 380-5669
- NPI assigned
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3413 | OR | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
10445 SW Canyon Rd
Beaverton, OR 97005
Mailing address
8420 NW Whitney St
Portland, OR 97231
Phone (503) 708-1660
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3413 | OR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1134597990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 NW WHITNEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97231",
"telephone_number": "503-708-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10445 SW CANYON RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97005",
"telephone_number": "971-380-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2024-03-27",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3413",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.