Individual provider Active NPI

Ryan Hargraves, M.D.

  • Psychiatry Physician
  • Grinnell, IA
National Provider Identifier
1306983556
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-52284 Issued in IA
Practice address
200 4TH Ave W
Grinnell, IA 50112-1833
Phone
(985) 445-7750
NPI assigned
Jan 30, 2007
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X CDRH.0061469 CO
Psychiatry Physician 2084P0800X MD218811 OR
Psychiatry Physician 2084P0800X 66431 TN
Psychiatry Physician 2084P0800X MD61352749 WA
Psychiatry Physician 2084P0800X 0101277092 VA
Psychiatry Physician 2084P0800X 218146 AK
Psychiatry Physician 2084P0800X MD-52284 IA Primary

Addresses

Primary practice location

200 4TH Ave W
Grinnell, IA 50112-1833

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Other practice location 2

58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 3

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 4

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 5

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 6

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-3191

Other practice location 7

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 8

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 9

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000

Other practice location 10

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 11

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 12

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 13

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 14

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141

Other practice location 15

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 16

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 17

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 18

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836

Other practice location 19

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 20

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-8025

Other practice location 21

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6993

Other practice location 22

1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-2141

Other practice location 23

2211 Rimland Dr Ste 320
Bellingham, WA 98226-6014
Phone (360) 752-5175

Other practice location 24

2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-7581

Other practice location 25

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MN, IA, NY, VA, OR, NC, WA, AK, MI, CO, WI12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20230120000465 TN Practitioner - Psychiatry 9234500745 Reassigns benefits to 2 organizations
I20230208002329 MN Practitioner - Psychiatry 9234500745 Reassigns benefits to 1 organization
I20240109003332 IA Practitioner - Psychiatry 9234500745 Reassigns benefits to 9 organizations
I20240226004151 NY Practitioner - Psychiatry 9234500745 Reassigns benefits to 2 organizations
I20240304002672 VA Practitioner - Psychiatry 9234500745 Reassigns benefits to 1 organization
I20240412003934 OR Practitioner - Psychiatry 9234500745 Reassigns benefits to 6 organizations
I20240430004126 NC Practitioner - Psychiatry 9234500745 Reassigns benefits to 2 organizations
I20240529003502 WA Practitioner - Psychiatry 9234500745 Reassigns benefits to 8 organizations
I20240715003553 AK Practitioner - Psychiatry 9234500745 Reassigns benefits to 2 organizations
I20240831000164 MI Practitioner - Psychiatry 9234500745 Reassigns benefits to 2 organizations
I20241227002402 CO Practitioner - Psychiatry 9234500745 Reassigns benefits to 2 organizations
I20250124000828 WI Practitioner - Psychiatry 9234500745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Circle Psychiatry Group PLLCGroup PAC ID 1052751476, 6 clinicians

Practice addresses (Care Compare)

Pella, IA 50219
Phone (541) 222-2185

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 463-8141

11600 W 2ND PL
Sah Behavioral Health
Lakewood, CO 80228-1527
Phone (720) 321-0000

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-5640

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

2900 Lamb
700A
Christiansburg, VA 24073-6344
Phone (540) 731-7460

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2992

2960 N Circle Dr
Suite 200
Colorado Springs, CO 80909-1163
Phone (719) 208-4027

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66431TNMDPsychiatry Physician
0101277092VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Carilion Medical Center CurrentSince Aug 22, 2025 Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 9, 2025 Accepting new patients
Peacehealth CurrentSince Dec 11, 2024 Accepting new patients
Peacehealth Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Feb 3, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 9, 2025 Accepting new patients
Maury Regional Medical Group, Inc CurrentSince Jan 22, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Apr 15, 2024 Accepting new patients
McLaren Medical Group Current Accepting new patients
Peacehealth Psychiatry CurrentSince Oct 3, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 8, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Circle Psychiatry Group PLLC Psychiatry CurrentSince Oct 29, 2025 Accepting new patients
Peacehealth Current Accepting new patients
Allina Health System CurrentSince Jan 10, 2023 Accepting new patients
Nuvance Health Medical Practice PC Psychiatry CurrentSince Jan 13, 2024 Accepting new patients
Peacehealth Medical Group Psychiatry CurrentSince May 1, 2024 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Davis Psychological Services, PC CurrentSince Jan 1, 2024 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Jan 22, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Nov 22, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 8, 2024 Accepting new patients
Peacehealth CurrentSince Dec 11, 2024 Accepting new patients
Carilion Medical Center CurrentSince Aug 22, 2025 Accepting new patients
Circle Psychiatry Group PLLC Psychiatry CurrentSince Oct 29, 2025 Accepting new patients
Peacehealth Medical Group Cottage Grove Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Oct 26, 2022 Accepting new patients
Peacehealth Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Oct 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Apr 15, 2024 Accepting new patients
Peacehealth Medical Group CurrentSince May 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 8, 2024 Accepting new patients
Peacehealth CurrentSince May 1, 2024 Accepting new patients
McLaren Medical Group Psychiatry CurrentSince Aug 1, 2024 Accepting new patients
Allina Health System CurrentSince Jan 10, 2023 Accepting new patients
Peacehealth CurrentSince May 1, 2024 Accepting new patients

Locations (25 of 52)

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2960 N Circle Dr
Ste 200
Colorado Springs, CO 80909
Phone (719) 387-7900

5376 Tomah Dr
Ste 201
Colorado Springs, CO 80918
Phone (253) 906-3454

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

217 4th Ave W
Grinnell, IA 50112
Phone (515) 236-7524

8175 Reliable Pkwy
Chicago, IL 60686

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Organizations & group practices 49

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 49

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1306983556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 4TH AVE W",
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            "state": "IA",
            "postal_code": "501121833",
            "telephone_number": "985-445-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-4165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-3191",
            "fax_number": "360-729-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Temple Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376508721",
            "country_code": "US",
            "telephone_number": "423-743-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-636-4836",
            "fax_number": "360-636-6792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2017 Jefferson St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142419",
            "country_code": "US",
            "telephone_number": "540-981-8025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-788-6993",
            "fax_number": "360-788-6995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 Spring St",
            "address_purpose": "LOCATION",
            "city": "Friday Harbor",
            "state": "WA",
            "postal_code": "982509782",
            "country_code": "US",
            "telephone_number": "360-378-2141",
            "fax_number": "360-378-1785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Rimland Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982266014",
            "country_code": "US",
            "telephone_number": "360-752-5175",
            "fax_number": "360-756-4805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982844327",
            "country_code": "US",
            "telephone_number": "360-856-7581",
            "fax_number": "360-856-7252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-7660",
            "fax_number": "907-228-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDRH.0061469",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD218811",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "66431",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61352749",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101277092",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "218146",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-52284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.