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
- 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
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 DirectoryNPI 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.