GROVE CITY PSYCHOLOGICAL SERVICES LLC – Psychologist, NPI 1952465668

GROVE CITY PSYCHOLOGICAL SERVICES LLC is a healthcare provider. based in Grove city, Ohio. specializing in Psychologist. The organization holds a License No. 5180 (OH). The NPI Number for GROVE CITY PSYCHOLOGICAL SERVICES LLC is 1952465668

Main info

Organization
Name
GROVE CITY PSYCHOLOGICAL SERVICES LLC
NPI
1952465668
Phone
(614) 871-0035
Address
3796 BROADWAY
Authorized Official
JOCELYN GOOD CO OWNER PHD
Enumeration Date
20 December 2006
Last Update Date
11 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for GROVE CITY PSYCHOLOGICAL SERVICES LLC

  • Broadway, Grove City, Jackson Township, Franklin County, Ohio, 43123, United States

    GROVE CITY, OH 43123

    Phone: (614) 871-0035

    Fax: (614) 539-0069

    Type: Location

  • 3774 BROADWAY

    GROVE CITY, OH 43123

    Phone: (614) 871-0035

    Fax: (614) 539-0069

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040728001733OClinic/Group PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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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 43123)

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Reviews

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Frequently asked questions

How is GROVE CITY PSYCHOLOGICAL SERVICES LLC identified in CMS data?
CMS-hosted NPPES data lists GROVE CITY PSYCHOLOGICAL SERVICES LLC with NPI 1952465668.
Can I rely on GROVE CITY PSYCHOLOGICAL SERVICES LLC being an active provider?
As of the registry snapshot, GROVE CITY PSYCHOLOGICAL SERVICES LLC is marked active.
What is GROVE CITY PSYCHOLOGICAL SERVICES LLC's primary classification?
Psychologist is the headline specialty for GROVE CITY PSYCHOLOGICAL SERVICES LLC here. Clinical services aligned with this taxonomy classification.
What address line appears for GROVE CITY PSYCHOLOGICAL SERVICES LLC?
GROVE CITY PSYCHOLOGICAL SERVICES LLC's geographic hint is Grove City, Ohio in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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