Individual provider Active NPI

Grace Muthami

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1902596604
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027529 Issued in PA
Practice address
2225 Sycamore St Ste 1210
Harrisburg, PA 17111-1026
Phone
(215) 774-3085
Fax
(949) 695-4330
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027529 PA Primary

Addresses

Primary practice location

2225 Sycamore St Ste 1210
Harrisburg, PA 17111-1026

Mailing address

12073 Tech Rd
Silver Spring, MD 20904-7873
Phone (267) 340-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628000115 PA Practitioner - Nurse Practitioner 5890153522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2225 Sycamore St
Suite 1210
Harrisburg, PA 17111-1026
Phone (888) 836-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Brightmind Wellness PLLC Psychiatric/Mental Health CurrentSince Mar 16, 2024 Accepting new patients
Psychogeriatric Services LLC CurrentSince Jun 2, 2023 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

2225 Sycamore St
Harrisburg, PA 17111
Phone 8445884222 ext. 0412

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1902596604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12073 TECH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047873",
            "telephone_number": "267-340-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SYCAMORE ST STE 1210",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111026",
            "telephone_number": "215-774-3085",
            "fax_number": "949-695-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHAMI",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.