Active NPI
Garic Grisbaum, M.D.
- Psychiatry Physician
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 307905
- Practice address
- 900 Wilkinson St
Mandeville, LA 70448-3533 - Phone
- (985) 624-4450
- Fax
- (985) 624-4461
- NPI assigned
- May 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 307905 | LA | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 23982 | MS |
Addresses
Primary practice location
900 Wilkinson St
Mandeville, LA 70448-3533
Mailing address
4512 Orleans Blvd
Jefferson, LA 70121-1224
Phone (504) 905-8970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA, GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Louisiana State University School of Medicine in New Orleans, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
835 Pride Dr
Suite B
Hammond, LA 70401-9527
Phone (985) 543-4730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23982 | MS | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Behavioral Counseling LLC | Current | Accepting new patients | |
| Florida Parishes Human Services Authority | Current | Accepting new patients | |
| Gracious Minds Counseling and Supervision Inc. | Current | Accepting new patients | |
| Florida Parishes Human Services Authority | Current | Accepting new patients | |
| Nurocoach Medical Group PLLC | Psychiatry | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Florida Parishes Human Services Authority | Past | Accepting new patients |
Locations
48 Medical Park Dr E
Ste 453
Birmingham, AL 35235
Phone (205) 517-7730
1000 Urban Center Dr
Ste 600
Vestavia, AL 35242
Phone (205) 208-0312
2585 Gresham Rd SE
Ste 100
Atlanta, GA 30316
400 Georgia Ave
Ste 1
Bogalusa, LA 70427
Phone (985) 732-6610
1951 Florida Ave SW
#D
Denham Springs, LA 70726
1951 Florida Ave SW
Denham Springs, LA 70726
Phone (225) 665-0473
1951 Florida Ave SW
Ste D
Denham Springs, LA 70726
Phone (225) 665-0473
835 Pride Dr
Ste B
Hammond, LA 70401
Phone (985) 543-4333
900 Wilkinson St
Mandeville, LA 70448
Phone (985) 624-4450
650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872
2331 Carey St
Slidell, LA 70458
Phone (985) 646-6406
3600 Bluecutt Rd
Ste 202
Columbus, MS 39705
Phone (662) 434-4210
1200 N State St
Ste 455
Jackson, MS 39202
Phone (601) 957-7343
5 Dunnbarr
Laurel, MS 39440
Phone (662) 434-4210
4075 Pemberton Square Blvd
Vicksburg, MS 39180
Phone (601) 883-0264
2800 Kirby Dr
Ste A110
Houston, TX 77098
101 Southwestern Blvd
Ste 200
Sugar Land, TX 77478
Phone (346) 298-3790
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Hammond, LA
- NPI 1679128292
-
- Addiction (Substance Use Disorder) Counselor
- Jackson, TN
- NPI 1386169050
MS
-
- Community/Behavioral Health Agency
- Hammond, LA
- NPI 1578992079
-
- Clinical Social Worker
- Houston, TX
- NPI 1144867292
-
- Community/Behavioral Health Agency
- Mandeville, LA
- NPI 1154750644
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1902217581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 ORLEANS BLVD",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701211224",
"telephone_number": "504-905-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WILKINSON ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483533",
"telephone_number": "985-624-4450",
"fax_number": "985-624-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISBAUM",
"first_name": "GARIC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "307905",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MS",
"license": "23982",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.