Graces Room LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GRACES ROOM LLC

Practice address

10216 Indian Summer CT
Bowie, MD 20721-3178

Phone

(240) 203-7448

Fax

(240) 371-0557

NPI assigned

Jan 12, 2026

Organization subpart

No

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

Authorized official

Name

Michael Dickson, DNPNPI 1699467019

Title

Owner of Entity

Phone

(240) 203-7448

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Dickson

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1699467019
  NPD Authorized official

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1922966746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186907",
            "telephone_number": "240-203-7448",
            "fax_number": "240-371-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 INDIAN SUMMER CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213178",
            "telephone_number": "240-203-7448",
            "fax_number": "240-371-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACES ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "240-203-7448",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Patrice Goyette, RPH, JD
• Grace & Dignity Care LLC
• Grace & Mercy Community Services Inc.
• Grace Inspire Behavioral Health Care LLC
• Gracemind Behavioral Health Services LLC
• Shayla Graham-Brock, M.D.
• Rosalyn Graham, LMT
• Gramps Place Companion Services
• Erayna Poles Grant, CRNP
• Patrick Jacque Graux, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Bowie, MD
• Providers in Bowie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.