DR. MONTY G. GRUBB (NPI# 1083695340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083695340 |
| Entity Type | Individual |
| Full Name | DR. MONTY G. GRUBB |
| Credential | PHD |
| Practice Address |
7946 Market St Suite 500 Wilmington NC 28411-8724 |
| Practice Telephone | 9016864300 |
| Practice Fax Number | 9106863303 |
| Mailing Telephone | 9016864300 |
| Mailing Fax Number | 9106863303 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1529 | NC | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1529 | NC | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1529 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000492 | 05 | |
| NC | PSYCHOLOGIST LICENSE NUMB | 1529 | 01 |
| Street Address |
7946 MARKET ST SUITE 500 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28411-8724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659561850 | Foot and Ankle Specialists Pa | Podiatrist | 7946 Market St, Suite 500, Wilmington, NC 28411-8750 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744941 | Mercedes Wilkins Mclaughlin | Social Worker | 7008 Cape Harbor Dr Apt A, Wilmington, NC 28411 | 2018-06-18 |
| 1619480811 | Physical Therapy Services of Wilmington At Porter's Neck, LLC | Physical Therapist | 167 Porters Neck Road, Suite D, Suite D, Wilmington, NC 28411 | 2017-11-09 |
| 1578954970 | Erin Fitzpatrick Vasquez | Physical Therapist | 441 Biscayne Dr., Wilmington, NC 28411 | 2015-02-07 |
| 1679961932 | Sheena Cannady | Occupational Therapy Assistant | 7205 Savanna Run Loop, Wilmington, NC 28411 | 2015-01-08 |
| 1548510753 | Lindsey Tarrant Pediatric Speech Pathology Services | Speech-Language Pathologist | 7842 Olde Pond Rd, Wilmington, NC 28411 | 2012-09-14 |
| 1912224601 | Michele Ann Hardee | Physical Therapy Assistant | 1011 Porters Neck Road, Wilmington, NC 28411 | 2010-04-21 |
| 1629216577 | Plantation Village | In Home Supportive Care | 1200 Porters Neck Rd, Wilmington, NC 28411 | 2009-01-30 |
| 1467606095 | Dana B. Shumate Dds, Pa | Dentist | 8131 Market St, Wilmington, NC 28411 | 2008-11-10 |
| 1427212745 | Malgorzata Maria Betkowski | Counselor | 8044 Market Street, Suite D, Wilmington, NC 28411 | 2008-07-16 |
| 1366625014 | The Lawson's House | Day Training, Developmentally Disabled Services | 6622 F Gordan Rd, Wilmington, NC 28411 | 2007-12-17 |
| Find all providers in zip 28411 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1447594049 | Ingleside Homes, Inc | Psychologist | 1005 N Franklin St, Wilmington, DE 19806-4553 | 2012-11-20 |
| 1851482939 | Home for Aged Women Inc | Psychologist | 1101 Gilpin Ave, Wilmington, DE 19806-3214 | 2006-09-27 |
| 1295948180 | Donna J. Hilton | Psychologist | 3608 Lancaster Pike, Wilmington, DE 19805-1509 | 2007-05-07 |
| 1306962691 | Elwyn | Psychologist | 321 E 11th St, Wilmington, DE 19801-3422 | 2007-03-21 |
| 1780766485 | Trilogy Services, Inc. | Psychologist | 7741 Market St, Suite C, Wilmington, NC 28411-8806 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740307 | New Life Development Foundation | Psychologist | 2406 Sidney Porter Dr, Greensboro, NC 27405-1692 | 2020-11-05 |
| 1568958858 | Darian L Grantham | Psychologist | 1223 Porter St, Goldsboro, NC 27530-6713 | 2018-07-10 |
| 1740779537 | Philip Helfaer | Psychologist | 100 Lassiter Rd, Pittsboro, NC 27312-8406 | 2018-05-07 |
| 1659691293 | Cassandra M. Germain | Psychologist | 1228 Links Dr, Morrisville, NC 27560-7056 | 2010-06-06 |
| 1336320993 | Pamela S. Perkins | Psychologist | 3401 Ventura Cir, Wake Forest, NC 27587-9390 | 2007-11-23 |
| 1679631758 | Roger Jerome Nunes | Psychologist | 105 Leon Dr, Goldsboro, NC 27530-9029 | 2006-12-04 |
| 1427089671 | Kristin Elizabeth Grapes | Psychologist | 2910 Briarcliff Road, Winston Salem, NC 27106-3176 | 2006-07-05 |
| 1144256637 | Valerie K Sawyer-smith | Psychologist | 100 Westgreen Dr, Suite 202, Chapel Hill, NC 27516-4417 | 2006-06-25 |
| 1639178965 | Angela Elizabeth Steep | Psychologist | 330 Valley River Ave, Murphy, NC 28906-2923 | 2005-07-19 |
| 1689041030 | Michelle Brosemer Rissling | Psychologist | 8000 Regency Pkwy, #570, Cary, NC 27518-8582 | 2015-09-01 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28411 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.