LILLIE MICHELLE GRIMES PH.D
NPI 1972910610
Psychologist - Clinical in Palmer, AK

Active since July 15, 2014
642 S ALASKA ST STE 220, PALMER, AK 99645(907) 331-0220(855) 702-2532 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2021, Apr 13, 2021, May 12, 2020 and 1 more (4 updates tracked since 2019).

About Lillie Michelle Grimes Ph.d NPPES

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

LILLIE MICHELLE GRIMES PH.D (NPI 1972910610) is an individual clinical provider in Palmer, Alaska, licensed in Alaska (142607) and active in the NPI registry since July 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972910610
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLILLIE MICHELLE GRIMESCredential: PH.D
Location Address642 S ALASKA ST STE 220Palmer, AK 99645-6378
Mailing Address6450 E Verboncoeur DrWasilla, AK 99654-4550 · (907) 715-8175
Fax(855) 702-2532
Sole ProprietorNo
Enumeration DateJuly 15, 2014
Last NPPES UpdateJuly 9, 20214 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1972910610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in AK · 142607
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.
642 S ALASKA ST STE 220, Palmer, AK 99645

Secondary Practice Locations 2

Location 1707 N BroadwayBaltimore, MD 21205-1832 · Phone (443) 923-9200 · Fax (443) 923-1875
Location 25851 E Mayflower CtWasilla, AK 99654-7881 · Phone (907) 376-6837 · Fax (907) 373-1135

Other Providers at the Same Location NPPES

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

Clinic/Center (Adolescent and Children Mental Health)
642 S ALASKA ST STE 220
PALMER, AK 99645

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 Lillie Grimes's NPI number?

The NPI number for Lillie Grimes is 1972910610. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Lillie Grimes located?

Lillie Grimes practices at 642 S Alaska St Ste 220, Palmer, AK 99645. The listed phone number is (907) 331-0220.

What is Lillie Grimes's specialty?

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

When was this NPI record last updated?

The NPPES record for Lillie Grimes was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.