Individual provider Active NPI

Linda S Grohe, PH.D

  • Clinical Psychologist
  • Spencer, IA
National Provider Identifier
1447219613
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
501 Issued in IA
Practice address
20 East 4TH Street
Spencer, IA 51301-5110
Phone
(712) 262-6111
Fax
(712) 262-5532
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 501 IA Primary

Addresses

Primary practice location

20 East 4TH Street
Spencer, IA 51301-5110

Mailing address

213 E 3Rd St
Spencer, IA 51301-5110
Phone (712) 262-6111

Other identifiers 1

IdentifierTypeStateIssuer
0048702MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20050105000769 IA Practitioner - Clinical Psychologist 4183672298 Reassigns benefits to 1 organization
Practice locations: Spencer, IA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

213 E 3Rd St
Spencer, IA 51301-5110
Phone (712) 260-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
501IAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Health Center LLP CurrentSince Nov 1, 2007 Accepting new patients
Paul Anderson Past Accepting new patients

Locations

616 E Bloomington St
Iowa City, IA 52245
Phone (319) 337-6889

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1447219613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E 3RD ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015110",
            "telephone_number": "712-262-6111",
            "fax_number": "712-262-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST 4TH STREET",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015110",
            "telephone_number": "712-262-6111",
            "fax_number": "712-262-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHE",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048702",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.