Active NPI
Beverley Grimm, PSYCHIATRIST
- Psychiatry Physician
- Sykesville, MD
National Provider Identifier
1952414153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D80076
- Practice address
- 6655 Sykesville Rd
Sykesville, MD 21784-7966 - Phone
- (410) 970-7000
- Fax
- (410) 970-7005
- NPI assigned
- Aug 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 14707 | ME | |
| Psychiatry Physician | 2084P0800X | D80076 | MD | Primary |
Addresses
Primary practice location
6655 Sykesville Rd
Sykesville, MD 21784-7966
Mailing address
6655 Sykesville Rd
Sykesville, MD 21784-7966
Phone (410) 970-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325190099 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14707 | ME | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Health Services | Past | Accepting new patients | |
| Kennebec Valley Mental Health Center | Past | Accepting new patients | |
| Maine Behavioral Healthcare | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Presque Isle, ME
- NPI 1356676977
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterville, ME
- NPI 1679504864
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Biddeford, ME
- NPI 1891733309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1952414153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 SYKESVILLE RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847966",
"telephone_number": "410-970-7000",
"fax_number": "410-970-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 SYKESVILLE RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847966",
"telephone_number": "410-970-7000",
"fax_number": "410-970-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "BEVERLEY",
"credential": "PSYCHIATRIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "14707",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D80076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "325190099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.