Jamie Grisham, PSY.D, MPH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5093 Issued in NC

Practice address

333 Fayetteville St Ste 1225
Raleigh, NC 27601-1742

Phone

(919) 886-4052

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1700387545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 BELLAIRE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081806",
            "telephone_number": "330-397-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FAYETTEVILLE ST STE 1225",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011742",
            "telephone_number": "919-886-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nell Stanton Grimm, LPC
• Kathleen Grimme
• Marc Anderson Grimmett, PH.D., HSP-P
• Jemma Price Grindstaff, PH.D.
• Morgan Ashwill Grinnell, PH.D.
• Ebonee Taylor Grissett
• Neijia Grissom
• Keliy Grobbelaar, LSCWA
• Suelhem Alejandra Grochowski, DNP, FNP-BC
• Allison Kathleen Groesser, CPNP

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.