Bounce Rehabilitation and Wellness LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BOUNCE REHABILITATION AND WELLNESS LLC

Practice address

2918 San Jacinto St
Suite 100
Houston, TX 77004-2708

Phone

(346) 228-0614

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. George Grimes, PHD

Title

Member

Phone

(346) 228-0614

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1295282184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MARINERS DR",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775652261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 SAN JACINTO ST",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042708",
            "telephone_number": "346-228-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE REHABILITATION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "346-228-0614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Boult, RBT
• Adrian Soo Boulter, MS, RDN, LDN
• Dessirae Boulware, PSYD
• Aida Bounama, M.D.
• Bounce Back Recovery Institute of Texas
• Boundaries & Balance Therapy, PLLC
• Faye L. Bounds, CNM
• Jerry E Bouquot, DDS
• Katelynn Anne Bourassa, PHD
• Jolie Bourek, MS, CGC

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.