DR. KEVIN N GROOM (NPI# 1184717027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184717027 |
Entity Type | Individual |
Full Name | DR. KEVIN N GROOM |
Credential | PHD |
Practice Address |
890 South Palafox Street Suite 300 Pensacola FL 32502 |
Practice Telephone | 8504331656 |
Practice Fax Number | 8504331996 |
Mailing Telephone | 8504331656 |
Mailing Fax Number | 8504331996 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2013-06-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | 1138 | AL | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | PY6326 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS OF AL DOTHAN AL | 510-01535 | 01 |
AL | BCBS AL GROUP | 59033603 | 01 |
FL | BCBS NUMBER | 54648 | 01 |
Street Address |
890 SOUTH PALAFOX STREET SUITE 300 |
City | PENSACOLA |
State | FL |
Zip Code | 32502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538269121 | Cris William Jagar | Psychiatry & Neurology | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-09-23 |
1720172778 | Robert J Rotunda | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-03 |
1972696839 | Pashia D Groom | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
1629161435 | The Anchor Clinic, LLC | Psychiatry & Neurology | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
1023101821 | Shannon S Wright-johnson | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
Find all providers in zip 32502 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
1396151049 | Daniel Anthony Proto | Clinical Neuropsychologist | 790 Veterans Way, Behavioral Health Service Line (116), Pensacola, FL 32507-1000 | 2014-07-02 |
1730315318 | Stephen F X Zieman Jr. | Clinical Neuropsychologist | 1120 N Palafox St, Pensacola, FL 32501-2608 | 2009-06-09 |
1275678849 | Karen Patterson Hagerott, Ph.d. | Clinical Neuropsychologist | 5153 N 9th Ave, Suite 304, Pensacola, FL 32504-8785 | 2007-02-21 |
1447395975 | Neuropsychology Center Pl | Clinical Neuropsychologist | 5153 N 9th Ave, Suite 304, Pensacola, FL 32504-8785 | 2007-02-21 |
1750360293 | Jeffrey L Moore | Clinical Neuropsychologist | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2006-01-12 |
1689656548 | Ali H Kizilbash | Clinical Neuropsychologist | 5153 N 9th Ave, Suite 304, Pensacola, FL 32504-8785 | 2005-11-16 |
1770564452 | Karen Hagerott | Clinical Neuropsychologist | 5153 N 9th Ave, Suite 304, Pensacola, FL 32504-8785 | 2005-11-09 |
1558342238 | Karen Hagerott | Clinical Neuropsychologist | 5153 N 9th Ave, Suite 304, Pensacola, FL 32504-8785 | 2005-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
1629532353 | Veronica A Thornton | Clinical Neuropsychologist | 1573 W Fairbanks Ave Ste 220, Winter Park, FL 32789-4679 | 2019-01-28 |
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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.