DR. JACK HOLLAND GRISHAM PH.D.
NPI 1376692061
Psychologist in Marietta, GA

Active since January 10, 2007
122 CHERRY ST NE, MARIETTA, GA 30060(770) 427-2911(770) 422-2302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jack Holland Grisham Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK HOLLAND GRISHAM PH.D. (NPI 1376692061) is an individual psychologist in Marietta, Georgia, licensed in Georgia (000669) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1376692061
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACK HOLLAND GRISHAMCredential: PH.D.
Location Address122 CHERRY ST NEMarietta, GA 30060-7206
Mailing Address122 Cherry St NeMarietta, GA 30060-7206 · (770) 427-2911 · Fax (770) 422-2302
Fax(770) 422-2302
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376692061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 000669
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

122 CHERRY ST NE, Marietta, GA 30060

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
122 CHERRY ST NE
MARIETTA, GA 30060
Counselor (Professional)
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Psychologist (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Counselor (Professional)
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Psychologist
122 CHERRY ST NE
MARIETTA, GA 30060

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 Jack Grisham's NPI number?

The NPI number for Jack Grisham is 1376692061. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Jack Grisham located?

Jack Grisham practices at 122 Cherry St NE, Marietta, GA 30060. The listed phone number is (770) 427-2911.

What is Jack Grisham's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jack Grisham was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.