Active NPI
Victoria Cook Griesinger, PH.D.
- Clinical Psychologist
- Lexington, KY
National Provider Identifier
1598821654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 916
- Practice address
- 1517 Nicholasville Rd
Lexington, KY 40503-1429 - Phone
- (859) 312-7255
- Fax
- (859) 278-1844
- NPI assigned
- Dec 30, 2006
- 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 | 916 | KY | Primary |
Addresses
Primary practice location
1517 Nicholasville Rd
Lexington, KY 40503-1429
Mailing address
1517 Nicholasville Rd
Lexington, KY 40503-1429
Phone (859) 312-7255
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916 | Other | KY | LICENSE |
| 77-0648894 | Other | KY | TAX ID |
| 11547612 | Other | KY | CAQH |
| K008632 | Other | KY | TRICARE |
Other names 1
- Victoria Lynne Cook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 916 | KY | MD | Clinical Psychologist |
| 614 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1598821654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 NICHOLASVILLE RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031429",
"telephone_number": "859-312-7255",
"fax_number": "859-278-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 NICHOLASVILLE RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031429",
"telephone_number": "859-312-7255",
"fax_number": "859-278-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESINGER",
"first_name": "VICTORIA",
"middle_name": "COOK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "916",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "77-0648894",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11547612",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "K008632",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "COOK",
"middle_name": "LYNNE",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.