Organization Active NPI

McGrim Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1689453334
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MCGRIM HEALTH LLC
Practice address
743 Brick Row Dr Apt 1224
Richardson, TX 75081-4980
Phone
(847) 693-6582
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Pearl Ezegrim, PMHNP-BC
Title
Authorized Official
Phone
(424) 622-8428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

743 Brick Row Dr Apt 1224
Richardson, TX 75081-4980

Mailing address

743 Brick Row Dr Apt 1224
Richardson, TX 75081-4980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1689453334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 BRICK ROW DR APT 1224",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 BRICK ROW DR APT 1224",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814980",
            "telephone_number": "847-693-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGRIM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "EZEGRIM",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "424-622-8428",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.