Joseph Michael Vandergrift, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS01026 Issued in RI

Practice address

6 N Main St
Suite 305
Uxbridge, MA 01569-1871

Phone

(508) 769-8547

Fax

(508) 278-2521

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1225228612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "address_2": "SUITE 305",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691871",
            "telephone_number": "508-769-8547",
            "fax_number": "508-278-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "address_2": "SUITE 305",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691871",
            "telephone_number": "508-769-8547",
            "fax_number": "508-278-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFT",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS01026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri River Family Health Center
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• Jordan Tripp, CCC-SLP
• Uxbridge Family Dental, P. C.
• Uxbridge Public Schools
• Venture Community Services, Inc
• Victory Distributors LLC (Hannaford Food and Drug)
• Caleb Visbeek
• Nichole Waxman, DPT, LATC
• Robert J Wellman, PHD

• Clinical Neuropsychologist in Uxbridge, MA
• Providers in Uxbridge, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.