JON R GRIGG (NPI# 1720168727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720168727 |
| Entity Type | Individual |
| Full Name | JON R GRIGG |
| Credential | MD |
| Practice Address |
St. James & Third Street Suite 103a Mansfield PA 16933 |
| Mailing Address |
1873 Shumway Hill Rd Wellsboro PA 16901-6840 |
| Practice Telephone | 5706627600 |
| Practice Fax Number | 5706627726 |
| Mailing Telephone | 5707245766 |
| Mailing Fax Number | 5707246757 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD043534E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011677250013 | 05 | |
| PA | 0011677250014 | 05 |
| Street Address |
ST. JAMES & THIRD STREET SUITE 103A |
| City | MANSFIELD |
| State | PA |
| Zip Code | 16933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497074348 | Beverly Dochstader | Social Worker | St. James & Third Street, Suite 103s, Mansfield, PA 16933 | 2010-05-18 |
| 1043539992 | Donald Benelli | Social Worker | St. James & Third Street, Suite 103a, Mansfield, PA 16933 | 2010-05-18 |
| 1124169594 | Joseph F Mcnamara | Psychologist | St. James & Third Street, Suite 103a, Mansfield, PA 16933 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
| 1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
| Find all providers in zip 16933 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922342773 | Peace of Mind Services, LLC | Psychiatry & Neurology | 380 Cline Ave, Lower Level, Mansfield, OH 44907-1057 | 2012-11-18 |
| 1568759751 | Tam Nguyen Redd | Psychiatry & Neurology | 1751 Broad Park Cir S Ste 201, Mansfield, TX 76063-7827 | 2011-07-07 |
| 1417160102 | Sturges Clinic Inc | Psychiatry & Neurology | 146 Marion Avenue, Mansfield, OH 44903-2201 | 2007-05-08 |
| 1558400556 | Patrick Rabjohn | Psychiatry & Neurology | 1752 Broad Park Cir N Ste 110, Mansfield, TX 76063-7824 | 2007-02-06 |
| 1285716605 | Jay M Butterman | Psychiatry & Neurology | 752 N Main St Unit 658, Mansfield, TX 76063-3264 | 2006-10-19 |
| 1295848919 | Dalia Enid Perez-gonzalez | Psychiatry & Neurology | 1456 Park Avenue West, Suite N, Mansfield, OH 44906-2700 | 2006-08-16 |
| 1851321251 | Shana S Clark | Psychiatry & Neurology | 103a Saint James Pl, Mansfield, PA 16933-1257 | 2006-07-03 |
| 1083677983 | Rosalia R Dominguez | Psychiatry & Neurology | St. James & Third St, Suite 103a, Mansfield, PA 16933 | 2006-04-11 |
| 1710950720 | Yogesh K Desai | Psychiatry & Neurology | 146 Marion Ave, Mansfield, OH 44903-2201 | 2006-02-09 |
| 1619289881 | Johanna S. Wilson | Psychiatry & Neurology | 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 | 2010-07-05 |
| Find all providers in MANSFIELD | ||||
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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.