Active NPI
Bethany Edith Grix, PHD
- Clinical Psychologist
- Battle Creek, MI
National Provider Identifier
1588032569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016148
- Practice address
- 5500 Armstrong Rd # 116B
Battle Creek, MI 49037-7314 - Phone
- (231) 878-4789
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016148 | MI | Primary |
Addresses
Primary practice location
5500 Armstrong Rd # 116B
Battle Creek, MI 49037-7314
Mailing address
12146 Lakeview St Apt 3a
Holland, MI 49424-7909
Phone (231) 878-4789
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016148 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1588032569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12146 LAKEVIEW ST APT 3A",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247909",
"telephone_number": "231-878-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG RD # 116B",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490377314",
"telephone_number": "231-878-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIX",
"first_name": "BETHANY",
"middle_name": "EDITH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.