Active NPI
Briana Lian Schaefer Grimaldi, PSYD
- Clinical Psychologist
- Vincennes, IN
National Provider Identifier
1881886794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042268A
- Practice address
- 515 Bayou St
Samaritan Center
Vincennes, IN 47591-1034 - Phone
- (812) 886-6800
- Fax
- (812) 886-6809
- NPI assigned
- Aug 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042268A | IN | Primary |
Addresses
Primary practice location
515 Bayou St
Samaritan Center
Vincennes, IN 47591-1034
Mailing address
515 Bayou St
Samaritan Center
Vincennes, IN 47591-1034
Phone (812) 886-6800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042268A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1881886794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 BAYOU ST",
"address_2": "SAMARITAN CENTER",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911034",
"telephone_number": "812-886-6800",
"fax_number": "812-886-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 BAYOU ST",
"address_2": "SAMARITAN CENTER",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911034",
"telephone_number": "812-886-6800",
"fax_number": "812-886-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMALDI",
"first_name": "BRIANA",
"middle_name": "LIAN SCHAEFER",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042268A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.