Organization Active NPI

Gro Community

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1013414150
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GRO COMMUNITY
Practice address
259 E 115TH St
Chicago, IL 60628-5014
Phone
(618) 203-4368
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Mr. Aaron Mallory, LCSW
Title
Chief Executive Officer
Phone
(773) 253-8385

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Adolescent and Children Mental Health Clinic/Center 261QM0855X IL Primary

Addresses

Primary practice location

259 E 115TH St
Chicago, IL 60628-5014

Mailing address

259 E 115TH St
Chicago, IL 60628-5014
Phone (618) 203-4368

Other names 1

  • GRO Community Doing business as

National Provider Directory

National Provider Directory

Locations

259 E 115th St
Chicago, IL 60628
Phone (773) 253-8385

11004 S Michigan Ave
Chicago, IL 60628

11006 S Michigan Ave
Ste 8
Chicago, IL 60628
Phone (618) 203-4368

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1013414150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E 115TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285014",
            "telephone_number": "618-203-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E 115TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285014",
            "telephone_number": "618-203-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRO COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "773-253-8385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRO Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.