Active NPI
Jennifer Gronholt, PSY.D.
- Clinical Psychologist
- Bellingham, WA
National Provider Identifier
1891091013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 60118572
- Practice address
- 2110 Iron St
Bellingham, WA 98225-4123 - Phone
- (360) 734-2664
- NPI assigned
- Feb 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PY 60118572 | WA | Primary |
Addresses
Primary practice location
2110 Iron St
Bellingham, WA 98225-4123
Mailing address
2110 Iron St
Bellingham, WA 98225-4123
Phone (360) 734-2664
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 60118572 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1891091013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 IRON ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254123",
"telephone_number": "360-734-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 IRON ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254123",
"telephone_number": "360-734-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONHOLT",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-04",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY 60118572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.