Jeffrey C. Gregory PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

397 Issued in ND

Legal business name

JEFFREY C. GREGORY PHD PC

Practice address

1407 24TH Ave S Ste 204
Grand Forks, ND 58201-6761

Phone

(701) 213-0426

NPI assigned

Jul 15, 2008

Last updated

May 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Charles Gregory, PH.D.NPI 1427274729

Title

Licensed Clinical Psychologist

Phone

(701) 213-0426

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey C Gregory, PH.D.

  • Clinical Psychologist
  • Detroit Lakes, MN
  • NPI 1427274729
  Authorized official Same address or phone

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1194989590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16872 S BIG CORMORANT RD",
            "city": "AUDUBON",
            "state": "MN",
            "postal_code": "565119480",
            "telephone_number": "701-213-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S STE 204",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-213-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. GREGORY PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-213-0426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "397",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND",
            "identifier": "28534",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14458",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priya Janjrukia
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• Tanya Jeanotte
• Anna Jeffers
• Jessica Jeffrey
• Jems Healthcare LLC (Infinity Health)
• Deanna Lynne Jenkins, LICSW
• Jennifer Joy Jenkins
• Susan Helena Jeno, PT, PHD

• Clinical Psychologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.