Organization Active NPI

Grounded Therapy LCSW PLLC

Doing business as Grounded Therapy PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1669163747
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROUNDED THERAPY LCSW PLLC
Doing business as
Grounded Therapy PLLC
Practice address
286 5TH Ave FL 7
New York, NY 10001-4512
Phone
(917) 597-4886
NPI assigned
May 18, 2023
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Alexandra Tomback, LMSWNPI 1245803873
Title
Manager and Therapist
Phone
(917) 597-4886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

286 5TH Ave FL 7
New York, NY 10001-4512

Mailing address

2248 Broadway # 1125
New York, NY 10024-5805
Phone (917) 597-4886

Other names 1

  • Grounded Therapy PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

101 W End Ave
New York, NY 10023

286 5th Ave
Fl 7
New York, NY 10001
Phone (212) 481-1860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1669163747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 BROADWAY # 1125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245805",
            "telephone_number": "917-597-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 5TH AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014512",
            "telephone_number": "917-597-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "TOMBACK",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MANAGER AND THERAPIST",
        "authorized_official_telephone_number": "917-597-4886",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grounded Therapy PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grounded Therapy PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.