Provider Demographics
NPI:1841358538
Name:GRIM-KRZYCKI, JONI L (PHD)
Entity type:Individual
Prefix:DR
First Name:JONI
Middle Name:L
Last Name:GRIM-KRZYCKI
Suffix:
Gender:
Credentials:PHD
Other - Prefix:DR
Other - First Name:JONI
Other - Middle Name:L
Other - Last Name:KRZYCKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:340 ARDEN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3704
Mailing Address - Country:US
Mailing Address - Phone:614-619-2259
Mailing Address - Fax:833-664-5161
Practice Address - Street 1:500 W WILSON BRIDGE RD STE 110
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2292
Practice Address - Country:US
Practice Address - Phone:614-619-2259
Practice Address - Fax:833-664-5161
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-4047 SUPV101YP2500X
OHOH 6321103T00000X
OH6321103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist