Active NPI
Robert S Grew, PH.D.
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1245249895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 850
- Practice address
- 3141 John Humphries Wynd
Suite 275
Raleigh, NC 27612-5438 - Phone
- (919) 783-5431
- Fax
- (919) 783-6480
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 850 | NC | Primary |
Addresses
Primary practice location
3141 John Humphries Wynd
Suite 275
Raleigh, NC 27612-5438
Mailing address
3141 John Humphries Wynd
Suite 275
Raleigh, NC 27612-5438
Phone (919) 783-5431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60-00661 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 850 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osvold Psychotherapy & Testing, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245249895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 JOHN HUMPHRIES WYND",
"address_2": "SUITE 275",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125438",
"telephone_number": "919-783-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 JOHN HUMPHRIES WYND",
"address_2": "SUITE 275",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125438",
"telephone_number": "919-783-5431",
"fax_number": "919-783-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREW",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60-00661",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.