NPIMap

Organization Active NPI

Ronnie Grubbs Psy D PA

  • Clinical Psychologist
  • Valrico, FL
National Provider Identifier
1639496110
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7985 Issued in FL
Legal business name
RONNIE GRUBBS PSY D PA
Practice address
2248 Eagle Bluff Dr
Valrico, FL 33596-7218
Phone
(813) 789-0552
NPI assigned
Apr 23, 2010
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. George Ronnie Grubbs Jr., PSY.D.NPI 1649505108
Title
President
Phone
(813) 789-0552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7985 FL Primary

Addresses

Primary practice location

2248 Eagle Bluff Dr
Valrico, FL 33596-7218

Mailing address

2248 Eagle Bluff Dr
Valrico, FL 33596-7218

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1639496110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 EAGLE BLUFF DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 EAGLE BLUFF DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967218",
            "telephone_number": "813-789-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE GRUBBS PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-789-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.