DR. KEVIN N GROOM


Address: 890 South Palafox Street, Suite 300, Pensacola, FL 32502
Phone: 8504331656

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 890 SOUTH PALAFOX STREET
SUITE 300
City PENSACOLA
State FL
Zip Code 32502

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City PENSACOLA
Zip Code 32502

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Dataset Information

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.

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