Active NPI
Marissa Griggs, PH.D.
- Clinical Psychologist
- Winston Salem, NC
National Provider Identifier
1922404839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 103062
- Practice address
- 2905 Briarcliffe Rd
Winston Salem, NC 27106-3076 - Phone
- (336) 722-5890
- NPI assigned
- Nov 5, 2014
- 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 | 103062 | NC | Primary |
Addresses
Primary practice location
2905 Briarcliffe Rd
Winston Salem, NC 27106-3076
Mailing address
2905 Briarcliffe Rd
Winston Salem, NC 27106-3076
Phone (336) 722-5890
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103062 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sloan Academics, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Winston-Salem, NC
- NPI 1487876520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1922404839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 BRIARCLIFFE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063076",
"telephone_number": "336-722-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 BRIARCLIFFE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063076",
"telephone_number": "336-722-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "MARISSA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-05",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "103062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.