Pashia D Groom, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6255 Issued in FL

Practice address

890 South Palafox Street
Suite 300
Pensacola, FL 32502

Phone

(850) 433-1656

Fax

(850) 433-1996

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Leva Neuroscience LLC

  • Psychiatry Physician
  • Fort Walton Beach, FL
  • NPI 1841068772
  Medicare reassignment NPD Authorized official
• The Anchor Clinic, LLC

  dba Anchor Clinic

  • Health Service Psychologist
  • Pensacola, FL
  • NPI 1629161435
  Medicare reassignment NPD
• Anchor Multispecialty Group

  • Neurology Physician
  • Pensacola, FL
  • NPI 1528627882

  Clinical

  NPD (past)
• Pensacola Psychological Clinic PA

  • Clinical Psychologist
  • Pensacola, FL
  • NPI 1730241209
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1972696839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 SOUTH PALAFOX STREET",
            "address_2": "SUITE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SOUTH PALAFOX STREET",
            "address_2": "SUITE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOM",
        "first_name": "PASHIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6255",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL NUMBER",
            "identifier": "54616",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Grissom, M.D.
• Desirea Rose Grochola, HAS
• Elliot Groff, DO
• Jason Gronert, MD
• Kevin N Groom, PHD
• Caitlin Reichle Gross, MS.CCC-SLP
• Jessie Enrique Gross, PA
• William Elsworth Gross, MD
• Skyelar Grosvenor, RBT
• Kevin Dale Groves, M.D.

• Clinical Psychologist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.