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NPI Code Detail

MEDICARE: GROUNDED THERAPY, A PSYCHOLOGY CORP

MEDICARE: GROUNDED THERAPY, A PSYCHOLOGY CORP
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
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1043836505
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROUNDED THERAPY, A PSYCHOLOGY CORP
Provider Business Mailing Address
First Line : 2041 EAST ST STE 1241
Second Line :
City : CONCORD
State : CA
Zip : 94520-2126
Country : US
Telephone Number : 858-208-0380
Fax Number :
Provider Business Practice Location Address
First Line : 2041 EAST ST STE 1241
Second Line :
City : CONCORD
State : CA
Zip : 94520-2126
Country : US
Telephone Number : 858-208-0380
Fax Number :
Authorized Official
Title or Position : CEO AND LICENSED PSYCHOLOGIST
Name : STACY ELIZABETH BONDS
Credential : PHD
Telephone Number : 858-367-7274
Provider Enumeration Date : 06/22/2020
Last Update Date : 05/14/2025

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Directions to “GROUNDED THERAPY, A PSYCHOLOGY CORP ” Practice Location

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