Organization Active NPI

Dr. Julie Griffin LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sellersburg, IN
National Provider Identifier
1225892193
Registry record updated Feb 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DR. JULIE GRIFFIN LLC
Doing business as
Dr. Julie Griffin LLC
Practice address
4323 Silver Glade TRL # US
Sellersburg, IN 47172-1785
Phone
(502) 457-3969
Fax
(812) 748-0181
NPI assigned
Feb 12, 2024
Last updated
Feb 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2024

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

Authorized official

Name
Dr. Julie E Griffin, PSY.D., LMHCNPI 1689964769
Title
Psychological Therapist
Phone
(502) 457-3969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4323 Silver Glade TRL # US
Sellersburg, IN 47172-1785

Mailing address

4323 Silver Glade TRL # US
Sellersburg, IN 47172-1785
Phone (502) 457-3969

Other practice location 1

2375 N State Highway 3
North Vernon, IN 47265-9251
Phone (502) 457-3969

Other names 1

  • Dr. Julie Griffin LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241028001966 IN Part B Supplier - Clinic/Group Practice 6901339068 Receives reassigned benefits from 1 practitioner
Practice locations: North Vernon, IN

National Provider Directory

National Provider Directory

Locations

2375 N State Highway 3
North Vernon, IN 47265
Phone (502) 457-3969

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708732800000",
    "number": "1225892193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 SILVER GLADE TRL # US",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721785",
            "telephone_number": "502-457-3969",
            "fax_number": "812-748-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 SILVER GLADE TRL # US",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721785",
            "telephone_number": "502-457-3969",
            "fax_number": "812-748-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 N State Highway 3",
            "address_purpose": "LOCATION",
            "city": "North Vernon",
            "state": "IN",
            "postal_code": "472659251",
            "country_code": "US",
            "telephone_number": "502-457-3969",
            "fax_number": "812-748-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JULIE GRIFFIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PSYCHOLOGICAL THERAPIST",
        "authorized_official_telephone_number": "502-457-3969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Julie Griffin LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Julie Griffin LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.