Jim Ray Broyles, PHD
NPI 1689651705ActiveIndividual· Psychologist, Counseling· Grove City, OH
Psychologist, Counseling (PHD) with Grove City Psychological Services LLC, practicing in Grove City, Ohio. Medicare paid $13,351 for services to 22 patients in 2024.
Overview
| NPI | 1689651705 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Dec 29, 2005 |
| Last updated in NPPES | Oct 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 5180 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 183 across 5 procedure codes |
| Paid by Medicare | $13,351 |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Grove City Psychological Services LLCGrove City, OH · 2 clinicians