Samantha Monk Grigsby, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0003849 Issued in CO

Practice address

2595 Canyon Blvd
Boulder, CO 80302-6745

Phone

(720) 432-7061

NPI assigned

Feb 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 22, 2025 through Jul 22, 2027

Medicare enrollment (NPD)

Not 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.

• Samantha Monk Grigsby, PHD LLC

  • Clinical Psychologist
  • Boulder, CO
  • NPI 1922736875
  NPD

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1427514231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CARBON PL STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026745",
            "telephone_number": "720-432-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "SAMANTHA",
        "middle_name": "MONK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0003849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Griffin, RD
• Julie Griffin, PT
• Lucinda Ann Griffith, NP
• Mary Griffith, MA, LPC
• Sue A Griffith, P.A.
• Laurie M Grimm, MS, CCC-SLP
• Margaret Grinnell
• Aaron L Grobler, LPCC
• Jennifer B Grodberg, MD
• Hunter James David Grogan

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.