What is Jack Grisham's NPI number?

Jack Grisham's National Provider Identifier (NPI) is 1376692061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Grisham's specialty?

Jack Grisham is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Jack Grisham located?

Jack Grisham's practice location on file with NPPES is 122 Cherry St Ne, Marietta, GA 30060-7206.

What is Jack Grisham's phone number?

The practice phone number listed in the NPPES registry for Jack Grisham is (770) 427-2911.

Is Jack Grisham's NPI active?

Yes — Jack Grisham's NPI (1376692061) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jack Grisham, PH.D.

NPI 1376692061 · Psychologist · Marietta, GA

Jack Grisham, PH.D. is a Psychologist provider in Marietta, GA (NPI 1376692061).

Provider details

NPI number: 1376692061
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: Yes
License: 000669 (GA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense 000669 (GA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

122 Cherry St Ne

Marietta, GA 30060-7206

Phone: (770) 427-2911

Fax: (770) 422-2302

Street-level locationGet directions

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Mailing address