Healthcare Provider Details

I. General information

NPI: 1043836505
Provider Name (Legal Business Name): GROUNDED THERAPY, A PSYCHOLOGY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2020
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 N COAST HIGHWAY 101
ENCINITAS CA
92024-2542
US

IV. Provider business mailing address

2041 EAST ST STE 1241
CONCORD CA
94520-2126
US

V. Phone/Fax

Practice location:
  • Phone: 858-208-0380
  • Fax:
Mailing address:
  • Phone: 858-208-0380
  • Fax: 833-643-0973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: STACY ELIZABETH BONDS
Title or Position: PHD
Credential:
Phone: 858-208-0380