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DR. MAUREEN O'KANE GRISSOM PH.D. NPI 1144411513


NPI Information

NPI: 1144411513
Provider Name: DR. MAUREEN O'KANE GRISSOM, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
HEALTH 2, 4349 MARTIN LUTHER KING BLVD SUITE 1001E
HOUSTON, TX
ZIP 77204
Phone: (713) 743-9682
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DR. Maureen O'kane Grissom, PH.D. is a clinical psychologist in Houston, TX with 19 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Maureen O'kane Grissom, PH.D. NPI is 1144411513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

HEALTH 2, 4349 MARTIN LUTHER KING BLVD SUITE 1001E
HOUSTON, TX
ZIP 77204-001
Phone: (713) 743-9682
Fax: (713) 743-1049

The NPI 1144411513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 8/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist2006034116MISSOURINo
2103T00000XPsychologist38769TEXASNo
3103TC0700XPsychologistClinical38769TEXASYes
4103G00000XClinical Neuropsychologist2006034116MISSOURINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12006034116OTHERMISSOURIMO LICENSE
238769OTHERTEXASTEXAS STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.