NPIMap

Organization Active NPI

Grounded Therapy, a Psychology Corp

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1043836505
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GROUNDED THERAPY, A PSYCHOLOGY CORP
Practice address
374 N Coast Highway 101
Encinitas, CA 92024-2542
Phone
(858) 208-0380
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Stacy Elizabeth BondsNPI 1912555087
Title
PHD
Phone
(858) 208-0380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

374 N Coast Highway 101
Encinitas, CA 92024-2542

Mailing address

2041 East St Ste 1241
Concord, CA 94520-2126
Phone (858) 208-0380

Other practice location 1

1990 N California Blvd Ste 800
Walnut Creek, CA 94596-7261
Phone (858) 208-0380

Other practice location 2

84 W Santa Clara St Ste 700
San Jose, CA 95113-1809
Phone (858) 208-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231013000955 CA Part B Supplier - Clinic/Group Practice 4284089020 Receives reassigned benefits from 9 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1043836505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 EAST ST STE 1241",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202126",
            "telephone_number": "858-208-0380",
            "fax_number": "833-643-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N COAST HIGHWAY 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242542",
            "telephone_number": "858-208-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 N California Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945967261",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 W Santa Clara St Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131809",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "fax_number": "833-643-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROUNDED THERAPY, A PSYCHOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "858-208-0380"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.