Grounded Wellness LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GROUNDED WELLNESS LLC

Practice address

1525 E 53Rd St Ste 501
Chicago, IL 60615-4530

Phone

(773) 888-3361

Fax

(773) 897-5766

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Hubbard, PH.D.

Title

Owner

Phone

(773) 888-3361

Specialties & licenses 1

Addresses

Practitioners 2

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

• Rebecca Renee Hubbard-Johnson, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1275903866
  NPD (past)
• Tashana Natasha Mattis, LSW

  • Social Worker
  • Chicago, IL
  • NPI 1093467169
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1043776396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154530",
            "telephone_number": "773-888-3361",
            "fax_number": "773-897-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154530",
            "telephone_number": "773-888-3361",
            "fax_number": "773-897-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-888-3361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ground Up Rehab PLLC
• Grounded Healing PLLC
• Grounded in Hope Counseling PLLC
• Grounded in Solace
• Grounded Table LLC
• Grounds for Healing, LLC
• Groundwork Psychology PLLC
• Group for Psychological Services LTD
• Carrie Katherine Grouse, M.D.
• Grove Communication Therapy LLC

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.