Individual provider Active NPI

David Robert Groh, PH.D.

  • Clinical Psychologist
  • West Harrison, IN
National Provider Identifier
1356614267
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042574A Issued in IN
Practice address
28208 State Route 1
Suite 101
West Harrison, IN 47060-9686
Phone
(812) 576-1600
Fax
(812) 576-1602
NPI assigned
Feb 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042574A IN Primary
Clinical Psychologist 103TC0700X 2938-057 WI

Addresses

Primary practice location

28208 State Route 1
Suite 101
West Harrison, IN 47060-9686

Mailing address

28208 State Route 1
Suite 101
West Harrison, IN 47060-9686
Phone (812) 576-1600

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20042574AINMDClinical Psychologist
2938-057WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Corporation of Southeastern Indiana PastSince May 1, 2016 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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1356614267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28208 STATE ROUTE 1",
            "address_2": "SUITE 101",
            "city": "WEST HARRISON",
            "state": "IN",
            "postal_code": "470609686",
            "telephone_number": "812-576-1600",
            "fax_number": "812-576-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28208 STATE ROUTE 1",
            "address_2": "SUITE 101",
            "city": "WEST HARRISON",
            "state": "IN",
            "postal_code": "470609686",
            "telephone_number": "812-576-1600",
            "fax_number": "812-576-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROH",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042574A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2938-057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Harrison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.