| Grounded Psychological Services, Llc | |
|
332 S Linn St Ste 17 Iowa City IA 52240-1697 | |
| (319) 800-2081 | |
| Not Available |
| Full Name | Grounded Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 332 S Linn St Ste 17, Iowa City, Iowa |
| Authorized Official Name and Position | Isaac Hooley (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3198002081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Psychological Services, Llc 332 S Linn St Ste 17 Iowa City IA 52240-1697 Ph: (319) 800-2081 | Grounded Psychological Services, Llc 332 S Linn St Ste 17 Iowa City IA 52240-1697 Ph: (319) 800-2081 |
| NPI Number | 1497529820 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 3476902941 |
|---|---|
| Medicare Enrollment ID | O20231208001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497529820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Isaac Walter Hooley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912667767 PECOS PAC ID: 5890176622 Enrollment ID: I20220725002766 |
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