James J Griffin, PSY.D.
Individual provider Active NPI Psychologist · Toddville, IA
NPI 1336159276 · NPPES record last updated Dec 20, 2016
Key facts
- NPI
- 1336159276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 00807 (IA)
- Practice address
- 3550 County Home Rd
120
Toddville, IA 52341-9726 - Phone
- (319) 393-6796
- Fax
- (319) 378-8621
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00807 | IA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Brief Therapy | Past | Accepting new patients | |
| Cornerstone Brief Therapy, Inc. | Psychologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00807 | IA | Yes |
| Health Service Psychologist | 103TH0100X | 00337 | IA |
Addresses
Primary practice location
3550 County Home Rd
120
Toddville, IA 52341-9726
Mailing address
3550 County Home Rd
120
Toddville, IA 52341-9726
Phone (319) 393-6796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23629 | Other | IA | WELLMARK |
Other providers in Toddville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.