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JACKIE GRIMMETT PSYCHOLOGIST
NPI 1992814065
Psychologist - Forensic in Colorado Springs, CO

Active since August 30, 2006PECOS Enrolled
PO BOX 63255, COLORADO SPRINGS, CO 80962(719) 641-5131 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jackie Grimmett Psychologist NPPES

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

JACKIE GRIMMETT PSYCHOLOGIST (NPI 1992814065) is an individual forensic provider in Colorado Springs, Colorado, licensed in Colorado (3938) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atascadero, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992814065
Entity TypeIndividualFemale
Primary Taxonomy103TF0200X
Provider Legal NameJACKIE GRIMMETTCredential: PSYCHOLOGIST
Location AddressPO BOX 63255Colorado Springs, CO 80962-3255
Mailing AddressPo Box 63255Colorado Springs, CO 80962-3255 · (719) 641-5131
Phone(719) 641-5131
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1992814065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
Licenses✔ Licensed in CO · 3938✔ Licensed in CA · 35736
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
PO BOX 63255, Colorado Springs, CO 80962
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Secondary Practice Location 1

Location 110333 El Camino RealAtascadero, CA 93422-5808 · Phone (805) 468-2000

Other Identifiers 1

Other202504035CO · Tax Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Grimmett Psychologist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244729085
PECOS Enrollment IDI20251030004009
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Grimmett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals
676 mi
Psychiatric Hospital
3102 E HIGHLAND AVE
Patton, CA 92369
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1043249204 (909) 425-7552

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jackie Grimmett's NPI number?

The NPI number for Jackie Grimmett is 1992814065. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jackie Grimmett located?

Jackie Grimmett practices at PO Box 63255, Colorado Springs, CO 80962. The listed phone number is (719) 641-5131.

What is Jackie Grimmett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Is Jackie Grimmett enrolled in Medicare?

Yes. Jackie Grimmett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Grimmett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Grimmett reassigns Medicare benefits to Department Of State Hospitals (Patton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Grimmett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackie Grimmett was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.