Active NPI
Ryan Hargraves, M.D.
- Psychiatry Physician
- Grinnell, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-52284
- Practice address
- 200 4TH Ave W
Grinnell, IA 50112-1833 - Phone
- (985) 445-7750
- NPI assigned
- Jan 30, 2007
- Last updated
- Oct 17, 2025
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
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
- Allina Health System
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66431 | TN | MD | Psychiatry Physician |
| 0101277092 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| Peacehealth | Psychiatry | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Circle Psychiatry Group PLLC | Psychiatry | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Psychiatry | Current | Accepting new patients |
| Peacehealth Medical Group | Psychiatry | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Davis Psychological Services, PC | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Circle Psychiatry Group PLLC | Psychiatry | Current | Accepting new patients |
| Peacehealth Medical Group Cottage Grove | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Peacehealth | Psychiatry | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Psychiatry | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| McLaren Medical Group | Psychiatry | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Peacehealth | Current | 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.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1770363004
Psychiatry
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
Psychiatry
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Counseling Psychologist
- Grinnell, IA
- NPI 1548563901
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1083611644
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
dba St. Anthony Hospital
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
dba MMC DUC Diagnostic Imaging
- General Acute Care Hospital
- Durango, CO
- NPI 1588204010
-
dba Mercy Imaging Center
- General Acute Care Hospital
- Durango, CO
- NPI 1679113104
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- General Acute Care Hospital
- Aztec, NM
- NPI 1770123382
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
dba Flight for Life Colorado
- Air Ambulance
- Lakewood, CO
- NPI 1992425854
Hospital
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
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",
"city": "GRINNELL",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.