Individual provider Active NPI

Jennifer Susan Grum, BCAT

  • Behavior Technician
  • Carlsbad, CA
National Provider Identifier
1104608363
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
00019592 Issued in CA
Practice address
2141 Palomar Airport Rd Ste 350
Carlsbad, CA 92011-1451
Phone
(760) 696-2788
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 00019592 CA Primary

Addresses

Primary practice location

2141 Palomar Airport Rd Ste 350
Carlsbad, CA 92011-1451

Mailing address

425 W Beech St Unit 1458
San Diego, CA 92101-8437
Phone (760) 696-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00019592CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica Developmental Therapies PA PastSince Oct 22, 2023 Accepting new patients
Behavioral Beginnings Inc. Past Accepting new patients
Cortica Healthcare Inc PastSince Oct 22, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1104608363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BEECH ST UNIT 1458",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018437",
            "telephone_number": "760-696-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 PALOMAR AIRPORT RD STE 350",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111451",
            "telephone_number": "760-696-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUM",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "credential": "BCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00019592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.