Active NPI
McGrim Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Richardson, TX
National Provider Identifier
1689453334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
- Last updated
- Sep 22, 2023
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Richardson, TX
- NPI 1972054716
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.