Jim Ray Broyles, PHD

Individual provider Counseling Psychologist · NPI 1689651705

Jim Ray Broyles, PHD is a Clinical Psychologist in Grove City, Ohio. Qualified in 1992, 34 years ago. Practices with Grove City Psychological Services LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying: 34
Licensed in: OH
In the registry since: 2005

What do these letters mean?

PHD — Doctor of Philosophy: A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3796 Broadway
Grove City, OH 43123
Phone: (614) 871-0035
Fax: (614) 539-0069

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary)	Taxonomy 103TC1900X · Licence 5180 (OH)

Record details

NPI number	1689651705
Entity type	Individual (Type 1)
Gender	Male
Credentials	PHD
Sole proprietor	No
NPI enumerated	December 29, 2005
Last updated in NPPES	October 7, 2011
Mailing address	3796 Broadway, Grove City, OH 43123

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL PSYCHOLOGIST
Medical school	OTHER
Graduated	1992 (34 years in practice)
Group practice	Grove City Psychological Services Llc — 2 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount