GRASSROOT PSYCHIATRY AND MENTAL HEALTH CLINIC PLLC
NPI 1801625926
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Q: What is Grassroot Psychiatry And Mental Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 29, 2024

101 ELLIOTT AVE W, SUITE 500, SEATTLE, WA 98119(682) 453-6176 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grassroot Psychiatry And Mental Health Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRASSROOT PSYCHIATRY AND MENTAL HEALTH CLINIC PLLC (NPI 1801625926) is a healthcare organization registered as a psychiatric/mental health in Seattle, Washington and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Grand Prairie and lists Martina Ezigbo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801625926

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameGRASSROOT PSYCHIATRY AND MENTAL HEALTH CLINIC PLLC

Location Address101 ELLIOTT AVE W, SUITE 500Seattle, WA 98119-4292

Mailing Address2100 N Hwy 360Grand Prairie, TX 75050-1011 · (682) 214-0636

Phone(682) 453-6176

Organization SubpartNo

Authorized OfficialMartina EzigboAdministrator · (346) 220-3534

Enumeration DateJuly 29, 2024

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1801625926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

101 ELLIOTT AVE W, SUITE 500, Seattle, WA 98119

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Secondary Practice Location 1

Location 12100 N Hwy 360Grand Prairie, TX 75050-1011 · Phone (682) 214-0636

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grassroot Psychiatry And Mental Health Clinic PLLC's NPI number?

The NPI number for Grassroot Psychiatry And Mental Health Clinic PLLC is 1801625926. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Grassroot Psychiatry And Mental Health Clinic PLLC located?

Grassroot Psychiatry And Mental Health Clinic PLLC is located at 101 Elliott Ave W, Suite 500, Seattle, WA 98119. The listed phone number is (682) 453-6176.

What is Grassroot Psychiatry And Mental Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Grassroot Psychiatry And Mental Health Clinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Grassroot Psychiatry And Mental Health Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grassroot Psychiatry And Mental Health Clinic PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.