Gracious Health Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GRACIOUS HEALTH SERVICES

Practice address

1035 Marshane Rd
Reisterstown, MD 21136-5861

Phone

(443) 850-5679

NPI assigned

Dec 11, 2021

Organization subpart

No

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

Authorized official

Name

Diana Pieterson, NPNPI 1558930073

Title

Owner

Phone

(443) 850-5679

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26893/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Pieterson

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1558930073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639180800000",
    "number": "1730848227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MARSHANE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365861",
            "telephone_number": "443-850-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MARSHANE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365861",
            "telephone_number": "443-850-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A",
        "authorized_official_last_name": "PIETERSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-850-5679",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Life Standard Health LLC
• Nathan Goldentayer, PHARMD
• Kariza Gomes Goncalves
• Carines Paola Gonzalez Reyes
• Elaine Goodman
• Wendie Katrina Grader-Beck, M.D.
• Alex Graff
• Shemika Ariel Graham, CNA-DT
• Great Works Wellness Center
• Lauren Greenwald, LCSW-C

• Psychiatry Physician in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.