Irina Gromov, MD, PH.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L4407 Issued in TX

Practice address

8222 Douglas Ave
Dallas, TX 75225-5923

Phone

(214) 905-5090

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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

• Enterhealth

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dallas, TX
  • NPI 1003284100
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1831131150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255973",
            "telephone_number": "214-905-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255923",
            "telephone_number": "214-905-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMOV",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "MD, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "L4407",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L4407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Grogan, LPC, LCDC, NCC
• Lauren Grogman, MS, LPC
• Colton Richard Groh, PSY.D.
• Madai Grohs, PNP
• Dmitriy Gromov, D.O.
• Mary Elizabeth Peters Gronberg, MS
• Michael James Matthew Groot, MD
• Brandt Gros, PT
• Bradley Groshans, OTR
• Veronica Groskopf, COTA

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.