NPIMap

Organization Active NPI

Samantha Monk Grigsby, PHD LLC

Doing business as Foothills CBT

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1922736875
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SAMANTHA MONK GRIGSBY, PHD LLC
Doing business as
Foothills CBT
Practice address
2595 Canyon Blvd Ste 205
Boulder, CO 80302-6745
Phone
(720) 432-7061
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Samarigsbyntha Monk Grigsby, PHD
Title
Owner
Phone
(720) 432-7061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2595 Canyon Blvd Ste 205
Boulder, CO 80302-6745

Mailing address

2595 Canyon Blvd Ste 205
Boulder, CO 80302-6745
Phone (720) 432-7061

Other names 1

  • Foothills CBT Doing business as

National Provider Directory

National Provider Directory

Locations

2595 Canyon Blvd
Ste 205
Boulder, CO 80302
Phone (720) 432-7061

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1922736875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026745",
            "telephone_number": "720-432-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026745",
            "telephone_number": "720-432-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA MONK GRIGSBY, PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "SAMARIGSBYNTHA",
        "authorized_official_middle_name": "MONK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-432-7061",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills CBT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.