John Michael Griffin, PHD
Individual provider Active NPI Psychologist · Emporia, VA
NPI 1790740132 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1790740132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1541 (NC)
- Practice address
- 307 B Dogwood Lane
Emporia, VA 23847 - Phone
- (434) 634-7676
- Fax
- (434) 634-7676
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1541 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carriage House Psychological Associates, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1541 | NC | Yes |
Addresses
Primary practice location
307 B Dogwood Lane
Emporia, VA 23847
Mailing address
PO Box 2161
Roanoke Rapids, NC 27870-7161
Phone (252) 537-6164
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107088 | Medicaid | NC | |
| 434863 | Other | VA | BCBS |
Other providers in Emporia, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.