Active NPI
Penny Griffith, PH.D.
- Clinical Psychologist
- Cuyahoga Falls, OH
National Provider Identifier
1871656678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5129
- Practice address
- 2795 Front St
Suite a
Cuyahoga Falls, OH 44221-1900 - Phone
- (330) 945-7100
- Fax
- (330) 945-4305
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5129 | OH | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 5129 | OH | |
| Clinical Psychologist | 103TC0700X | 5129 | OH | Primary |
| Counseling Psychologist | 103TC1900X | 5129 | OH | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 5129 | OH | |
| Family Psychologist | 103TF0000X | 5129 | OH | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 5129 | OH | |
| School Psychologist | 103TS0200X | 5129 | OH |
Addresses
Primary practice location
2795 Front St
Suite a
Cuyahoga Falls, OH 44221-1900
Mailing address
2795 Front St
Suite a
Cuyahoga Falls, OH 44221-1900
Phone (330) 945-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10034 | Medicaid | OH | |
| 10024 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5129 | OH | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1871656678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 FRONT ST",
"address_2": "SUITE A",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442211900",
"telephone_number": "330-945-7100",
"fax_number": "330-945-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 FRONT ST",
"address_2": "SUITE A",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442211900",
"telephone_number": "330-945-7100",
"fax_number": "330-945-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "PENNY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5129",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "5129",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5129",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "5129",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "5129",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "OH",
"license": "5129",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OH",
"license": "5129",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "5129",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10034",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.