Individual provider Active NPI

Joel Harold Griffith, MD

  • Psychiatry Physician
  • Bloomington, IN
National Provider Identifier
1194747618
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01024489 Issued in IN
Practice address
645 S Rogers St
Bloomington, IN 47403
Phone
(812) 339-1691
NPI assigned
Jul 24, 2006
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01024489 IN Primary

Addresses

Primary practice location

645 S Rogers St
Bloomington, IN 47403

Mailing address

645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691

Other identifiers 1

IdentifierTypeStateIssuer
100154190AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000167 IN Practitioner - Psychiatry 5890976096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1972
Medicare assignment
May accept Medicare assignment
Group practices
Centerstone Health Services IncGroup PAC ID 1850497173, 25 clinicians

Practice addresses (Care Compare)

390 Erie Ave
Suite a
Connersville, IN 47331-3177
Phone (812) 325-7492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01024489INMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone Health Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Centerstone Health Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Mar 31, 2019 Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Mar 31, 2019 Accepting new patients
Centerstone Health Services, Inc. Past Accepting new patients
Centerstone Health Services, Inc Past Accepting new patients

Locations

645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691

645 S Rogers St
Ste A
Bloomington, IN 47403
Phone (812) 269-5092

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

390 Erie Ave
Ste A
Connersville, IN 47331
Phone (812) 325-7492

831 Dillon Dr
Ste A
Richmond, IN 47374
Phone (765) 200-7900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24341/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1194747618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691",
            "fax_number": "812-337-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-339-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JOEL",
        "middle_name": "HAROLD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01024489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154190A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.