MR. GARRETT M GRIGG (NPI# 1487123584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487123584 |
| Entity Type | Individual |
| Full Name | MR. GARRETT M GRIGG |
| Practice Address |
1481 N Windsor Dr San Bernardino CA 92404 |
| Mailing Address |
33196 Old Ave E Yucaipa CA 92399-1947 |
| Practice Telephone | 9093616470 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT40487 | CA | Nursing Service Providers |
| Street Address |
1481 N WINDSOR DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| 1386085249 | Ramona Leigh Drake | Counselor | 1738 N Waterman Ave Ste I, San Bernardino, CA 92404 | 2013-07-08 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811172703 | Jasmine Shawcover | Licensed Psychiatric Technician | 1480 W Edgehill Rd, San Bernardino, CA 92405-5105 | 2008-01-09 |
| 1508493495 | Ebony Rene Venable | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-03-23 |
| 1265070585 | Maria Saad | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-17 |
| 1750929410 | Nicholas Anthony West | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-12 |
| 1578120762 | Jose Alberto Montiel-flores | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-05-22 |
| 1003479320 | Manny Brice Kelly | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-04-22 |
| 1558825331 | Martin Seth Rodriguez | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-01-25 |
| 1609358571 | Autumne Lachisa Williams | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2018-09-06 |
| 1346791407 | Daniel Ludd | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2016-10-24 |
| 1518416981 | Carlos Escobar | Licensed Psychiatric Technician | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2016-09-27 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on MR. GARRETT M GRIGG.
| 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.