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Michelle Grim , MED, SP

Psychologist β€’ Centerville, OH

Active NPI 1750835922 Individual Practitioner Female Practitioner
Practice location in NPPES

539 Windsor Park Dr
Centerville, OH 454594112

Call 9374096156 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

539 Windsor Park Dr

Centerville, OH 454594112

Telephone 9374096156
Organization at the Same NPPES Address or Phone
Heart To Heart Counseling, Llc Facility NPI 1932563749

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dayton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Centerville and Ohio

10 active clinicians are listed under Psychologist with a practice address in Centerville, OH (1,531 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES OH SP.00638

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

115 S Ludlow St, Psychological Services

Dayton, OH 454021812

Phone: 9375423363

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 12, 2018

Registered at 539 WINDSOR PARK DR, CENTERVILLE, OH 454594112 (Tel: 9374096156)

πŸ“
Updated Business Mailing Address November 12, 2018

Registered at 539 WINDSOR PARK DR, CENTERVILLE, OH 454594112

πŸ‘€
Provider Name / Credentials Updated November 12, 2018

Recorded as MICHELLE GRIM, M.ED., SP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2018

Psychologist (license number reported to NPPES: OH SP.00638)

βœ…
NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2016

Registered at 115 S LUDLOW ST, PSYCHOLOGICAL SERVICES, DAYTON, OH 454021812 (Tel: 9375423363)

πŸ“
Business Mailing Address (Initial Record) August 05, 2016

Registered at 115 S LUDLOW ST, PSYCHOLOGICAL SERVICES, DAYTON, OH 454021812 (Tel: 9375423363)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2016

Recorded as MICHELLE GRIM, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Psychologist

🟒
Initial NPI Registration & Enumeration August 05, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750835922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2016
Last Update: November 12, 2018
Sole Proprietor: No

Mailing Address

539 Windsor Park Dr

Centerville, OH 454594112

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.