DR. JONHENRY GRIZZLE (NPI# 1982858866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982858866 |
Entity Type | Individual |
Full Name | DR. JONHENRY GRIZZLE |
Credential | PH.D. |
Practice Address |
3851 Roger Brooke Drive Mche-qd (creds) Brooke Army Medical Center Fort Sam Houston TX 78234-6200 |
Mailing Address |
8207 Eagle Peak Helotes TX 78023-4350 |
Practice Telephone | 2109162460 |
Mailing Telephone | 2103235094 |
Enumeration Date | 2008-11-05 |
Last Update Date | 2008-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
LD1748 | KS | Behavioral Health & Social Service Providers |
Street Address |
3851 ROGER BROOKE DRIVE MCHE-QD (CREDS) BROOKE ARMY MEDICAL CENTER |
City | FORT SAM HOUSTON |
State | TX |
Zip Code | 78234-6200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
Find all providers in zip 78234 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962871475 | Anna Smitherman | Psychologist | Bamc-3851 Roger Brook Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2015-09-15 |
1225374309 | Eric David Heneka | Psychologist | 3851 Roger Brooke Dr # Drive-qd, Fort Sam Houston, TX 78234-4501 | 2012-12-18 |
1801101951 | Michael Anthony Gallo | Psychologist | 3851 Roger Brooke Dr Brooke Amry Medical Center, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2010-08-13 |
1508841727 | Alan John Maiers | Psychologist | 3851 Rog, Brooke Army Medical Center Mche-qd/ Credentials, Fort Sam Houston, TX 78234-6200 | 2005-12-09 |
1821079831 | Nancy Barber | Psychologist | Brooke Army Medical Center, 3851 Roger Brooke Dr., Mche-qd/credentials, Fort Sam Houston, TX 78234-6200 | 2005-11-07 |
1083148696 | Christopher Joseph Lawless | Psychologist | 3551 Roger Brooke Dr, Department of Behavioral Medicine-mche-dbm, Fort Sam Houston, TX 78234-4504 | 2017-04-20 |
1184178568 | Natasha G Benatti | Psychologist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2016-08-15 |
1356709612 | Yaniris Birzel Garcia - Soto | Psychologist | 3551 Roger Brooke Dr, Jbsa, Fort Sam Houston, TX 78234-4504 | 2016-02-02 |
1972974350 | Alisha Rose Bowen | Psychologist | 3551 Roger Brooke Drive, San Antonio Military Medical Center Dept Behav Med, Fort Sam Houston, TX 78234-4504 | 2015-10-12 |
1104258292 | Negin Pahlavan | Psychologist | 3100 Schofield Rd, Fort Sam Houston, TX 78234-7577 | 2013-07-31 |
Find all providers in FORT SAM HOUSTON |
City | FORT SAM HOUSTON |
Zip Code | 78234 |
Please comment or provide details below to improve the information on DR. JONHENRY GRIZZLE.
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.