Gronholt Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GRONHOLT PSYCHOLOGICAL SERVICES, LLC

Practice address

2110 Iron St
Bellingham, WA 98225-4123

Phone

(360) 734-2664

Fax

(360) 671-8006

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer M Gronholt, PSY.D.

Title

Clinical Psychologist

Phone

(360) 734-2664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1225439151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 IRON ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254123",
            "telephone_number": "360-734-2664",
            "fax_number": "360-671-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 IRON ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254123",
            "telephone_number": "360-734-2664",
            "fax_number": "360-671-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRONHOLT PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GRONHOLT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-734-2664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Grimm, DC
• Mystique D Grobe, ND,LAC
• Kelsey Groenhout, RN
• Richard W Groesbeck, PH.D.
• Garth Howard Groettum
• Jennifer Gronholt, PSY.D.
• Diane Groody
• Corinna Gross
• Asha Grossberndt
• Julia Lynn Grout

• Clinical Psychologist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.