Individual provider Active NPI

Kirk M. Griffith, PH.D.

  • Clinical Neuropsychologist
  • Columbia, MD
National Provider Identifier
1609101716
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
02577 Issued in MD
Practice address
5565 Sterrett PL
Suite 320
Columbia, MD 21044-2665
Phone
(410) 772-7155
Fax
(410) 772-7156
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 02577 MD Primary

Addresses

Primary practice location

5565 Sterrett PL
Suite 320
Columbia, MD 21044-2665

Mailing address

5565 Sterrett PL
Suite 320
Columbia, MD 21044-2665
Phone (410) 772-7155

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

LicenseStateTypeSpecialty
02577MDMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Associates Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 1

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1609101716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 STERRETT PL",
            "address_2": "SUITE 320",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442665",
            "telephone_number": "410-772-7155",
            "fax_number": "410-772-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 STERRETT PL",
            "address_2": "SUITE 320",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442665",
            "telephone_number": "410-772-7155",
            "fax_number": "410-772-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "KIRK",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "02577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.