DR. KENNETH LLOYD GRILL (PH.D.) – Clinical Psychologist, NPI 1093772014
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for DR. KENNETH LLOYD GRILL (PH.D.)
22282 VISTA LAGO DR.
BOCA RATON, FL 334284764
Phone: (561) 477-3453
Fax: (561) 477-3634
Type: Mailing
1690 S. CONGRESS AVE.
SUITE 100
DELRAY BEACH, FL 334456327
Phone: (561) 488-7771
Fax: (561) 477-3634
Type: Location
7900 GLADES RD STE 230
BOCA RATON, FL 334344104
Phone: (561) 488-7771
Fax: (561) 477-3634
Type: Location
West Palmetto Park Road, Old Floresta, Royal Oak Hills, Boca Raton, Palm Beach County, Florida, 33432, United States
SUITE 304B
BOCA RATON, FL 334333409
Phone: (561) 362-8009
Type: Location
Lago Vista Terrace, Boca Raton, Palm Beach County, Florida, 33433, United States
BOCA RATON, FL 334284764
Phone: (561) 362-8009
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101022000674 | I | Clinical Psychologist | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33428)
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