Active NPI
Sarah Fisher Grinnell, ED.S
- School Psychologist
- Boise, ID
National Provider Identifier
1164607248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3527748
- Practice address
- 4696 W Overland Rd Ste 232
Boise, ID 83705-2864 - Phone
- (208) 471-4969
- NPI assigned
- Jan 8, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-8942 | ID | |
| School Psychologist | 103TS0200X | 3527748 | AZ | Primary |
Addresses
Primary practice location
4696 W Overland Rd Ste 232
Boise, ID 83705-2864
Mailing address
4696 W Overland Rd Ste 232
Boise, ID 83705-2864
Phone (208) 471-4969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-8942 | ID | MD | Professional Counselor |
| 3527748 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1164607248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4696 W OVERLAND RD STE 232",
"city": "BOISE",
"state": "ID",
"postal_code": "837052864",
"telephone_number": "208-471-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4696 W OVERLAND RD STE 232",
"city": "BOISE",
"state": "ID",
"postal_code": "837052864",
"telephone_number": "208-471-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINNELL",
"first_name": "SARAH",
"middle_name": "FISHER",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-8942",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3527748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.