Individual provider Active NPI

John Gary Grow, PH.D.

  • Clinical Psychologist
  • Havre, MT
National Provider Identifier
1992968366
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
397 Issued in MT
Practice address
20 13TH St W
Havre, MT 59501-5215
Phone
(406) 265-7831
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 397 MT Primary

Addresses

Primary practice location

20 13TH St W
Havre, MT 59501-5215

Mailing address

PO Box 1231
Havre, MT 59501-1231
Phone (406) 265-7831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20091016000133 MT Practitioner - Clinical Psychologist 7810061991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

Practice addresses (Care Compare)

20 13 St W
Havre, MT 59501-5215
Phone (406) 265-7831

30 13TH St
Havre, MT 59501-5222

Hospital & facility affiliations

  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
397MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital CurrentSince Oct 1, 2009 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Northern Montana Hospital CurrentSince Oct 1, 2009 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Oak Forest Psychological Service Clinical Past Accepting new patients
Autumn Healthcare of Illinois PastSince Mar 6, 2018 Accepting new patients
Self Empowerment Center, P.C. Past Accepting new patients

Locations

20 13th St W
Havre, MT 59501
Phone (406) 262-1701

30 13th St
Havre, MT 59501
Phone (406) 262-1302

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bear Paw HospiceHavre, MT, CCN 271516 Hospice Corporate Director Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1992968366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595011231",
            "telephone_number": "406-265-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 13TH ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015215",
            "telephone_number": "406-265-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROW",
        "first_name": "JOHN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.