Jody Grubbs, MHP is a
Behavior Technician based in Mount Vernon, Illinois. Jody Grubbs is licensed to practice in Washington (license number CB60975961) and his current practice location is
4110 N Water Tower Pl, Mount Vernon, Illinois. He can be reached at his office (for appointments etc.) via phone at
(224) 283-8876.
NPI number for Jody Grubbs is 1558902940 and his current mailing address is 4110 N Water Tower Pl, Mount Vernon, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558902940.
Healthcare Provider's Profile
Full Name | Jody Grubbs |
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Gender | Male |
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Speciality | Behavior Technician |
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Location | 4110 N Water Tower Pl, Mount Vernon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558902940
- Provider Enumeration Date: 10/07/2019
- Last Update Date: 09/13/2023
Medical Identifiers
Medical identifiers for Jody Grubbs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558902940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | CB60975961 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jody Grubbs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jody Grubbs, MHP 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 Ph: (252) 702-7838 | Jody Grubbs, MHP 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 Ph: (224) 283-8876 |
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