Individual provider Active NPI

David Grippe, M.D.

  • Forensic Psychiatry Physician
  • Quincy, FL
National Provider Identifier
1366657694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
ME 59962 Issued in FL
Practice address
2733 Mount Pleasant Rd
Quincy, FL 32352-6684
Phone
(850) 856-9703
Fax
(850) 856-9312
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X ME 59962 FL Primary

Addresses

Primary practice location

2733 Mount Pleasant Rd
Quincy, FL 32352-6684

Mailing address

2733 Mount Pleasant Rd
Quincy, FL 32352-6684
Phone (850) 856-9703

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 Medicine

State licenses

LicenseStateTypeSpecialty
ME 59962FLMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families Past Accepting new patients
Florida Therapy Services, Inc PastSince Jul 17, 2021 Accepting new patients

Organizations & group practices 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366657694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 MOUNT PLEASANT RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323526684",
            "telephone_number": "850-856-9703",
            "fax_number": "850-856-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 MOUNT PLEASANT RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323526684",
            "telephone_number": "850-856-9703",
            "fax_number": "850-856-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIPPE",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME 59962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.