Jackie Grimmett, PSYCHOLOGIST
NPI 1992814065ActiveIndividual· Psychologist, Forensic· Colorado Springs, CO
Psychologist, Forensic (PSYCHOLOGIST) in Colorado Springs, Colorado, licensed in CO and CA, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1992814065 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYCHOLOGIST |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Oct 16, 2025 |
| Certified by provider | Oct 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | 3938 | CO |
| Psychologist, Forensic | 103TF0200X | 35736 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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