Active NPI
Chrisine Petrus Grubb, PH.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1891970653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0961
- Practice address
- 3040 E Cactus Rd
Suite a
Phoenix, AZ 85032-7196 - Phone
- (602) 494-7906
- NPI assigned
- Dec 29, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0961 | AZ | Primary |
Addresses
Primary practice location
3040 E Cactus Rd
Suite a
Phoenix, AZ 85032-7196
Mailing address
3040 E Cactus Rd
Suite a
Phoenix, AZ 85032-7196
Phone (602) 494-7906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080822000025 | AZ | Practitioner - Clinical Psychologist | 7113092354 | Practice locations: Cave Creek, AZ; Phoenix, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3040 E Cactus Rd
Suite a Clinical Psychology and Associates
Phoenix, AZ 85032-7196
Phone (602) 494-0302
PO Box
Suite 487
Cave Creek, AZ 85032-7196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0961 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198886400000",
"number": "1891970653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 E CACTUS RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327196",
"telephone_number": "602-494-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 E CACTUS RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327196",
"telephone_number": "602-494-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "CHRISINE",
"middle_name": "PETRUS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-29",
"last_updated": "2007-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "0961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.