Ground Up Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GROUND UP BEHAVIORAL HEALTH LLC

Doing business as

Ground Up Behavioral Health

Practice address

1331 Old Oak PL
Montgomery, AL 36117-6895

Phone

(334) 746-5586

Fax

(334) 746-5586

NPI assigned

Apr 30, 2025

Last updated

Jun 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Byung S Kwak, MDNPI 1073967782

Title

Medical Director

Phone

(334) 746-5586

Specialties & licenses 1

Addresses

Other names 1

• Ground Up Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 11

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.

• Byung San Kwak, M.D.

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1073967782
  Medicare reassignment NPD Authorized official
• Shanon Adedokun, LPC

  • Professional Counselor
  • Montgomery, AL
  • NPI 1376218537
  NPD
• Leticia Ball, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1861931255
  NPD
• Nicole Dean, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, AL
  • NPI 1780218818
  NPD
• Patricia Ann Randich-Dumas, LCSW-PIP

  • Social Worker
  • Montgomery, AL
  • NPI 1427140292
  NPD
• Vonceil Cornelius Smith, PHD

  • Psychologist
  • Montgomery, AL
  • NPI 1811985690
  NPD
• Caroline Abolade, MD

  • Psychiatry Physician
  • Gadsden, AL
  • NPI 1528002128
  NPD (past)
• Ashley Austin, LPC

  • Professional Counselor
  • Montgomery, AL
  • NPI 1134036239
  NPD (past)
• Sara Darby Smith, ALC

  • Mental Health Counselor
  • Montogmery, AL
  • NPI 1821548454
  NPD (past)
• Stacey L Whitaker, PA-C

  • Physician Assistant
  • Prattville, AL
  • NPI 1518360973
  NPD (past)
• Sherita Danielle Wallace, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, MS
  • NPI 1225502412
  NPD (past)

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1902695661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 OLD OAK PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176895",
            "telephone_number": "334-746-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 OLD OAK PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176895",
            "telephone_number": "334-746-5586",
            "fax_number": "334-746-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUND UP BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "BYUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "334-746-5586",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ground Up Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vickie Lynn Griffith, CRNP
• Benjamin C Griggs, MD
• Emily Anne Grimm, PA- C
• Brittany Mariah Grooms, OT/L
• Gary Michael Gross, MD
• Group Homes for Children, Inc
• James Taylor Groves
• Shabnam Guard, M.D.
• Guardian Angels Home Care Agency Inc
• Mark Guarin

• Psychiatry Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.