Active NPI
Kimberly Marie Gronemeyer, PSY.D.
- Clinical Psychologist
- Danville, VA
National Provider Identifier
1295986222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003151
- Practice address
- 382 Taylor Dr
Danville, VA 24541-4023 - Phone
- (434) 773-4275
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2740 | NC | |
| Clinical Psychologist | 103TC0700X | 0810003151 | VA | Primary |
Addresses
Primary practice location
382 Taylor Dr
Danville, VA 24541-4023
Mailing address
3100 N Elm St Apt 20a
Greensboro, NC 27408-3838
Phone (336) 340-1531
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2740 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 0810003151 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1295986222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N ELM ST APT 20A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274083838",
"telephone_number": "336-340-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 TAYLOR DR",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245414023",
"telephone_number": "434-773-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONEMEYER",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2740",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.