Jon R Grigg, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD043534E Issued in PA

Practice address

St. James & Third Street
Suite 103a
Mansfield, PA 16933

Phone

(570) 662-7600

Fax

(570) 662-7726

NPI assigned

Oct 16, 2006

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towanda, PA
  • NPI 1376845479
  Medicare reassignment NPD
• Cattaraugus Rehabilitation Center, Inc.

  • Developmental Disabilities Clinic/Center
  • Olean, NY
  • NPI 1316132533
  Medicare reassignment NPD
• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Easton, PA
  • NPI 1144820895
  NPD
• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Community/Behavioral Health Agency
  • Elkland, PA
  • NPI 1083069918
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Community/Behavioral Health Agency
  • Mansfield, PA
  • NPI 1881033876
  NPD (past)
• Tioga County Dept. of Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, PA
  • NPI 1396752309
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1720168727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-5766",
            "fax_number": "570-724-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JAMES & THIRD STREET",
            "address_2": "SUITE 103A",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "16933",
            "telephone_number": "570-662-7600",
            "fax_number": "570-662-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "JON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD043534E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011677250013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011677250014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Joy Fish-Layton, LCSW
• Geoffrey A Gadow, MA
• Beth Anne Geiger, DNP
• Jennifer Elizabeth Gonzalez, D.C.
• Erin Griess
• Guthrie Clinic, LTD.
• Guthrie Health
• Guthrie Medical Group, P.C.
• Mallory Hamm, PT
• Trisha Nicole Hand, PT, DPT

• Psychiatry Physician in Mansfield, PA
• Providers in Mansfield, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.

Verify at the official NPI Registry.