Mitchell Degrazier Crouch

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

66994 Issued in TX

Practice address

3737 Dacoma St
Houston, TX 77092-8905

Phone

(713) 248-7869

NPI assigned

Mar 29, 2018

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1851896963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 WHITE DR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014204",
            "telephone_number": "214-546-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 DACOMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928905",
            "telephone_number": "713-248-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "MITCHELL",
        "middle_name": "DEGRAZIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "66994",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "TX",
            "license": "66994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Pharma LLC
• Crossway Pharmacy LLC
• Emma Crotty, MC MCH BAO
• Kathryn Ann Crouch Peterman
• Carter Craig Crouch, M.D.
• Susan Marie Crouch, PTA, CMLD
• Heather Crouse, MD
• Mary Khanh Crouse, CCC, SLP
• Denise Crow
• Jacqueline Neutzler Crow, M.A., SLP-CF

• Psychiatric Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.