Individual provider Active NPI

Joseph Grimaldi, PH.D.

  • Psychologist
  • Tampa, FL
National Provider Identifier
1902018419
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6946 Issued in FL
Practice address
6916 W Linebaugh Ave Ste 102
Tampa, FL 33625-5815
Phone
(813) 269-2920
Fax
(813) 269-2021
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6946 FL Primary

Addresses

Primary practice location

6916 W Linebaugh Ave Ste 102
Tampa, FL 33625-5815

Mailing address

6916 W Linebaugh Ave Ste 102
Tampa, FL 33625-5815
Phone (813) 269-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000377 FL Practitioner - Psychologist Billing Independently 1850352071 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6946FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Care Psychologists PA Clinical CurrentSince Mar 25, 2014 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Tampa Bay Mental Health, LLC CurrentSince Sep 14, 2021 Accepting new patients
Medical & Rehab of Hillsborough Inc Past Accepting new patients

Locations

6916 W Linebaugh Ave
Ste 102
Tampa, FL 33625
Phone (813) 265-0210

3105 W Waters Ave
Ste 212
Tampa, FL 33614
Phone (813) 269-2920

2505 W Virginia Ave
Tampa, FL 33607
Phone (727) 289-9401

3105 W Waters Ave
Ste 107
Tampa, FL 33614

3105 W Waters Ave
Ste 102
Tampa, FL 33614
Phone (813) 269-2920

Interoperability endpoints

  • Direct secure messaging: jgrimaldi189380@orlandohealth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1902018419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255815",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255815",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.