Marcy B. Gringlas, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS008200L Issued in PA

Practice address

Dupont at Jefferson-Chestnut
1015 Chestnut Street Suite 601
Philadelphia, PA 19107-4306

Phone

(215) 503-2664

Fax

(215) 923-0459

NPI assigned

Oct 26, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2671/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1770668865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEMOURS CHILDRENS CLINIC",
            "address_2": "P.O. BOX 404112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840001",
            "telephone_number": "904-390-3610",
            "fax_number": "904-288-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUPONT AT JEFFERSON-CHESTNUT",
            "address_2": "1015 CHESTNUT STREET SUITE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074306",
            "telephone_number": "215-503-2664",
            "fax_number": "215-923-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINGLAS",
        "first_name": "MARCY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS008200L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7541031",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116785",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1808301",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittnay Grimm
• Joshua Collin Grimm, MD
• Kassandra Vatsana Grimm, MS, LCGC
• Arianna Grin
• Christina Grindley, MD, MBA
• Michael A Grippi, MD
• Sarah N Grisham, LSW
• Joel A Griska, MD
• Devon Lyndsay Grissinger, OTR
• Yoha Grissom

• Clinical Child & Adolescent Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.