Individual provider Active NPI

Grace S Pham

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1699303800
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U3622 Issued in TX
Practice address
300 Beardsley LN # 202
Austin, TX 78746-4945
Phone
(512) 329-5575
NPI assigned
Apr 1, 2020
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X U3622 TX Primary

Addresses

Primary practice location

300 Beardsley LN # 202
Austin, TX 78746-4945

Mailing address

300 Beardsley LN # 202
Austin, TX 78746-4945
Phone (512) 329-5575

Other practice location 1

1213 W Slaughter Ln Ste 110
Austin, TX 78748-6902
Phone (737) 471-5402

Other practice location 2

1106 Clayton Ln Ste 240W
Austin, TX 78723-2478
Phone (737) 471-5402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 5, 2024 through Aug 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U3622TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neuropsychiatry Association PLLC Psychiatry PastSince Jun 9, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1699303800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN # 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-329-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN # 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-329-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 W Slaughter Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486902",
            "country_code": "US",
            "telephone_number": "737-471-5402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Clayton Ln Ste 240W",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787232478",
            "country_code": "US",
            "telephone_number": "737-471-5402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "GRACE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U3622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.