GROUNDWORK THERAPY PSYCHOLOGICAL SERVICES, PLLC


Address: 1000 Dean Street, Suite 226, Brooklyn, NY 11238
Phone: 3476699792

GROUNDWORK THERAPY PSYCHOLOGICAL SERVICES, PLLC (NPI# 1205328010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205328010
Entity Type Organization
Organization Name GROUNDWORK THERAPY PSYCHOLOGICAL SERVICES, PLLC
Other Organization Name GROUNDWORK THERAPY, PLLC
Practice Address 1000 Dean Street
Suite 226
Brooklyn
NY 11238
Practice Telephone 3476699792
Mailing Telephone 3476699792
Enumeration Date 2018-06-06
Last Update Date 2018-12-21
Authorized Official Name MELISSA MORGAN JOHNSON (OWNER/MEMBER/CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 7142670471
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1093048753 01
NPI 1013167907 01

Other Provider/Organization Names

Other Name Type Code
Groundwork Therapy, PLLC Former Legal Business Name - Organization

Office Location

Street Address 1000 DEAN STREET,
SUITE 226
City BROOKLYN
State NY
Zip Code 11238

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1548873516 James Delrey Grimaldi Psychologist 81 77th St, Brooklyn, NY 11209-2920 2020-08-28
1205445855 Virtue Sankoh Psychologist 8 Vanderbilt Ave Apt 12a, Brooklyn, NY 11205-1226 2020-07-29
1053957662 Rebecca Brodoff Psychologist 3692 Bedford Ave Ste P2, Brooklyn, NY 11229-1702 2019-11-19
1225671985 Kenji Takeda Psychologist 68 35th St Unit 4, Brooklyn, NY 11232-2211 2019-10-24
1497397608 Heidi Cox Psychologist 540 President St Fl 3, Brooklyn, NY 11215-1493 2019-10-09
1801352281 Philip Jay Bender Psychologist 50 Ocean Pkwy Apt 6k, Brooklyn, NY 11218-1539 2019-02-11
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Competitor

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City BROOKLYN
Zip Code 11238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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