Gridley Behavioral Healthcare, P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1141 Issued in NC

Legal business name

GRIDLEY BEHAVIORAL HEALTHCARE, P.A.

Practice address

2100B N Herritage St
Kinston, NC 28501-2222

Phone

(252) 522-3976

Fax

(252) 522-1582

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Charles Gridley, PH.D.NPI 1518925221

Title

President

Phone

(252) 522-3976

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Gregory Charles Gridley, PH.D.

  • Clinical Psychologist
  • Kinston, NC
  • NPI 1518925221
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1952377749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100B N. HERRITAGE STREET",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012222",
            "telephone_number": "252-522-3976",
            "fax_number": "252-522-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100B N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012222",
            "telephone_number": "252-522-3976",
            "fax_number": "252-522-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIDLEY BEHAVIORAL HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GRIDLEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-522-3976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000369",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Heights Management Services of Kinston, Inc.
• Hloy Green
• Jasmine Shanette Green
• Allen Greene, LCSW
• Tricia Marie Greenwell
• Gregory Charles Gridley, PH.D.
• Bethany McKittrick Griffin, PHARMD
• Phoebe Gisele Griffin, M.D.
• H Stadiem Inc
• H2Gollc

• Clinical Psychologist in Kinston, NC
• Providers in Kinston, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.