Grounded Therapy, A Psychology Corp | |
374 N Coast Highway 101 Encinitas CA 92024-2542 | |
(858) 208-0380 | |
Not Available |
Full Name | Grounded Therapy, A Psychology Corp |
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Speciality | Psychologist |
Location | 374 N Coast Highway 101, Encinitas, California |
Authorized Official Name and Position | Stacy Elizabeth Bonds (CEO AND LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 8583677274 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grounded Therapy, A Psychology Corp 374 N Coast Highway 101 Encinitas CA 92024-2542 Ph: (858) 208-0380 | Grounded Therapy, A Psychology Corp 374 N Coast Highway 101 Encinitas CA 92024-2542 Ph: (858) 208-0380 |
NPI Number | 1043836505 |
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Provider Enumeration Date | 06/22/2020 |
Last Update Date | 09/26/2023 |
Certification Date | 09/26/2023 |
Medicare PECOS PAC ID | 4284089020 |
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Medicare Enrollment ID | O20231013000955 |
Identifier | Type | State | Issuer |
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1043836505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Stacy Elizabeth Bonds |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912555087 PECOS PAC ID: 5193170934 Enrollment ID: I20231016003118 |
Provider Name | Chelsea Laurae Sanders |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598314148 PECOS PAC ID: 4284082488 Enrollment ID: I20231129000712 |
Provider Name | Shawnee Brew |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508412461 PECOS PAC ID: 6608226592 Enrollment ID: I20231218004022 |
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