Maureen O'Kane Grissom, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38769 Issued in TX

Practice address

Health 2, 4349 Martin Luther King Blvd Suite 1001E
Houston, TX 77204-0001

Phone

(713) 743-9682

Fax

(713) 743-1049

NPI assigned

Aug 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uh HealthGroup PAC ID 5496137499, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maureen.grissom.1@26199.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26199/brand/1/csg/1/fhir/r4
• Direct secure messaging: maureen.grissom.p1@direct.lscctx.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uh Health

  • Family Medicine Physician
  • Houston, TX
  • NPI 1114689320

  Psychologist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1144411513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTH 2, 4349 MARTIN LUTHER KING BLVD SUITE 1001E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772040001",
            "telephone_number": "713-743-9682",
            "fax_number": "713-743-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTH 2, 4349 MARTIN LUTHER KING BLVD SUITE 1001E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772040001",
            "telephone_number": "713-743-9682",
            "fax_number": "713-743-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "MAUREEN",
        "middle_name": "O'KANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2006034116",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38769",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38769",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "2006034116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE",
            "identifier": "2006034116",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "38769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A. Grisdale, RN, FNP
• Julie Lynn Grissett, GNP
• Meredith Hargis Grissett, COTA/L
• Garrett Grissim, MD
• Larry A. Grissom, M.D.
• Barry F. Gritz, M.D.
• Ellen R Gritz, PHD
• Elizabeth Ann Grizzaffi, PA-C
• Kathryn Lee Grizzaffi, COTA
• Anne F Grizzle, LCSW

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.