Victoria Grutz, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

135435 Issued in CA

Practice address

3821 Front St
San Diego, CA 92103-3019

Phone

(619) 736-0495

NPI assigned

Oct 21, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Victoria Mellard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victoria Grutz Marriage and Family Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1396540258
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1013634815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W GRAPE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011953",
            "telephone_number": "760-567-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033019",
            "telephone_number": "619-736-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUTZ",
        "first_name": "VICTORIA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.letswanderpsychotherapy.com/",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3821 Front St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921033019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MELLARD",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eugenio Grunvald, M.D.
• Christine Lynne Grupa, MS OTR/L
• Haley Jennifer Grupe, LMFT
• Solomiya Grushchak, MD
• Janis Kathleen Gruska, ND
• Lydia M. Grypma, MD
• Jennifer M Gryska, M.A. CCC-A
• Laura Grywczynski
• Ismelda Gu
• Ana Karen Guaderrama, LCSW

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.