Active NPI
John E. Grimm, PHD
- Psychologist
- Strongsville, OH
National Provider Identifier
1427106962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2024
- Practice address
- 20619 Stratford Cir
Strongsville, OH 44149-4985 - Phone
- (440) 238-1534
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2024 | OH | Primary |
Addresses
Primary practice location
20619 Stratford Cir
Strongsville, OH 44149-4985
Mailing address
20619 Stratford Cir
Strongsville, OH 44149-4985
Phone (440) 238-1534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0372538 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427106962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20619 STRATFORD CIR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441494985",
"telephone_number": "440-238-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20619 STRATFORD CIR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441494985",
"telephone_number": "440-238-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "JOHN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "2024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0372538",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Strongsville, OH
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.