Eric Eugene Griffin-Shelley Sr., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-003909-L Issued in PA

Practice address

452 Germantown Pike
Lafayette Hill, PA 19444-1805

Phone

(610) 828-4298

Fax

(610) 943-2322

NPI assigned

Oct 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Perelman School of Med at the University of Pennsylvania, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Growth and Recovery Center Inc.Group PAC ID 7214074681, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The Growth and Recovery Center Inc.

  • Community/Behavioral Health Agency
  • Lafayette Hill, PA
  • NPI 1275764524
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1427048362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MATTISON AVE APT 3003",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024643",
            "telephone_number": "610-828-4298",
            "fax_number": "610-943-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441805",
            "telephone_number": "610-828-4298",
            "fax_number": "610-943-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 MacDade Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodlyn",
            "state": "PA",
            "postal_code": "190941322",
            "country_code": "US",
            "telephone_number": "610-945-8021",
            "fax_number": "610-943-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN-SHELLEY",
        "first_name": "ERIC",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-23",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-003909-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-1400070",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahfi Anna Goldenberg, D.C.
• Brandon Goldwater, DMD
• Melissa Gonska, PSY.D.
• Amy Gray, M.S.
• Veronica Griesemer
• Thomas Daniel Griffin Jr., M.D
• Michael James Gumby
• Tara C. Gutgesell, MA, LPC
• Brigitte Gutpelet, L.AC.
• Jennifer Hall, DPT

• Psychologist in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.

Verify at the official NPI Registry.