Dr Russell Chris Groom, PSYD is a
Psychologist based in Grass Valley, California. Dr Russell Chris Groom is licensed to practice in * (Not Available) (license number ) and his current practice location is
12436 Beaver Dr, Grass Valley, California. He can be reached at his office (for appointments etc.) via phone at
(510) 908-3733.
NPI number for Dr Russell Chris Groom is 1174963714 and his current mailing address is 12436 Beaver Dr, Grass Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174963714.
Healthcare Provider's Profile
Full Name | Dr Russell Chris Groom |
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Gender | Male |
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Speciality | Psychologist |
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Location | 12436 Beaver Dr, Grass Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174963714
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 05/10/2023
Medical Identifiers
Medical identifiers for Dr Russell Chris Groom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174963714 | NPI | - | NPPES |
8121 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | 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. Dr Russell Chris Groom 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 |
Dr Russell Chris Groom, PSYD 12436 Beaver Dr, Grass Valley, CA 95945-8440 Ph: (510) 908-3733 | Dr Russell Chris Groom, PSYD 12436 Beaver Dr, Grass Valley, CA 95945-8440 Ph: (510) 908-3733 |
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