MEDICARE: GROUNDED PSYCHOLOGICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1497529820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROUNDED PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	1114 N DODGE ST STE B
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-6121
Country	:	US
Telephone Number	:	319-800-2081
Fax Number	:

Provider Business Practice Location Address
First Line	:	1114 N DODGE ST STE B
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-6121
Country	:	US
Telephone Number	:	319-800-2081
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST/OWNER
Name	:	ISAAC HOOLEY
Credential	:	PHD
Telephone Number	:	319-800-2081

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	12/09/2025

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