Grassroot Psychiatry and Mental Health Clinic PLLC
NPI 1801625926 · Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grassroot Psychiatry and Mental Health Clinic PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Seattle, WA (NPI 1801625926).
Provider details
- NPI number
- 1801625926
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Martina Ezigbo, Administrator(346) 220-3534
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2100 N Hwy 360Grand Prairie, TX 75050-1011Phone: (682) 214-0636
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is Grassroot Psychiatry and Mental Health Clinic PLLC's NPI number?
- Grassroot Psychiatry and Mental Health Clinic PLLC's National Provider Identifier (NPI) is 1801625926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grassroot Psychiatry and Mental Health Clinic PLLC?
- Grassroot Psychiatry and Mental Health Clinic PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grassroot Psychiatry and Mental Health Clinic PLLC located?
- Grassroot Psychiatry and Mental Health Clinic PLLC's practice location on file with NPPES is 101 Elliott Ave W, Suite 500, Seattle, WA 98119-4292.
- What is Grassroot Psychiatry and Mental Health Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grassroot Psychiatry and Mental Health Clinic PLLC is (682) 453-6176.
- Does Grassroot Psychiatry and Mental Health Clinic PLLC accept Medicare?
- Grassroot Psychiatry and Mental Health Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grassroot Psychiatry and Mental Health Clinic PLLC?
- The authorized official listed on Grassroot Psychiatry and Mental Health Clinic PLLC's NPPES record is Martina Ezigbo, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grassroot Psychiatry and Mental Health Clinic PLLC's NPI active?
- Yes — Grassroot Psychiatry and Mental Health Clinic PLLC's NPI (1801625926) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.