DR. SAMANTHA MONK GRIGSBY PHD
NPI 1427514231
Psychologist - Clinical in Boulder, CO

Q: What is Samantha Grigsby's NPI number?

The NPI number for Samantha Grigsby is 1427514231. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Q: What is Samantha Grigsby's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Samantha Grigsby enrolled in Medicare?

No. Samantha Grigsby has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samantha Grigsby was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 17, 2019Opted out of Medicare · through Jul 22, 2027

2595 CANYON BLVD, BOULDER, CO 80302(720) 432-7061 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Feb 17, 2019 (2 updates tracked since 2019).

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About Dr. Samantha Monk Grigsby Phd NPPES

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

DR. SAMANTHA MONK GRIGSBY PHD (NPI 1427514231) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (0003849) and active in the NPI registry since February 2019. She has opted out of Medicare through July 22, 2027.

NPPES Registry Identity

NPI1427514231

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SAMANTHA MONK GRIGSBYCredential: PHD

Location Address2595 CANYON BLVDBoulder, CO 80302-6745

Mailing Address3020 Carbon Pl Ste 200Boulder, CO 80301-6164

Phone(720) 432-7061

Sole ProprietorYes

Enumeration DateFebruary 17, 2019

Last NPPES UpdateMay 23, 20222 updates tracked since enumeration

NPPES CertifiedMay 23, 2022

✔ NPI 1427514231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CO · 0003849

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2595 CANYON BLVD, Boulder, CO 80302

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Samantha Monk Grigsby Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2025 through July 22, 2027.

Opt-Out Effective DateJuly 22, 2025

Opt-Out In Effect ThroughJuly 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

CANYON CHIROPRACTIC CENTER PC

Chiropractor

2595 CANYON BLVD, STE 240
BOULDER, CO 80302

Boulder County (303) 402-1300

JOEL GREGORY WINNER M.D.

Psychiatry & Neurology (Psychiatry)

2595 CANYON BLVD, SUITE 100
BOULDER, CO 80302

Boulder County (720) 920-9174

AVANTI SKIN CENTER OF BOULDER

Specialist

2595 CANYON BLVD, SUITE 360
BOULDER, CO 80302

Boulder County (303) 440-7546

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 Samantha Grigsby's NPI number?

The NPI number for Samantha Grigsby is 1427514231. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Where is Samantha Grigsby located?

Samantha Grigsby practices at 2595 Canyon Blvd, Boulder, CO 80302. The listed phone number is (720) 432-7061.

What is Samantha Grigsby's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samantha Grigsby enrolled in Medicare?

No. Samantha Grigsby has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Grigsby was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.