DR. DYNESHA DIONE MASON-GRISSOM PH.D.
NPI 1043789688
Psychologist in Champaign, IL
About Dr. Dynesha Dione Mason-grissom Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DYNESHA DIONE MASON-GRISSOM PH.D. (NPI 1043789688) is an individual psychologist in Champaign, Illinois and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dynesha Dione Mason-grissom Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dynesha Mason-grissom's NPI number?
The NPI number for Dynesha Mason-grissom is 1043789688. It was assigned to this individual provider in the NPPES registry on November 13, 2018.
Where is Dynesha Mason-grissom located?
Dynesha Mason-grissom practices at 2500 Galen Dr Ste 104, Champaign, IL 61821. The listed phone number is (217) 693-6072.
What is Dynesha Mason-grissom's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Dynesha Mason-grissom enrolled in Medicare?
Yes. Dynesha Mason-grissom is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dynesha Mason-grissom was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.