Organization Active NPI

Grace Psychology LLC

  • Clinical Psychologist
  • Temecula, CA
National Provider Identifier
1124946470
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GRACE PSYCHOLOGY LLC
Practice address
30777 Rancho California Rd # 890133
Temecula, CA 92591-3209
Phone
(716) 430-6999
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Dr. Jessica L Federowicz, PSY.D
Title
Owner
Phone
(716) 430-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

30777 Rancho California Rd # 890133
Temecula, CA 92591-3209

Mailing address

30777 Rancho California Rd # 890133
Temecula, CA 92591-3209
Phone (716) 430-6999

National Provider Directory

National Provider Directory

Locations

30777 Rancho California Rd
#890133
Temecula, CA 92591

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1124946470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30777 RANCHO CALIFORNIA RD # 890133",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913209",
            "telephone_number": "716-430-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30777 RANCHO CALIFORNIA RD # 890133",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913209",
            "telephone_number": "716-430-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "FEDEROWICZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-430-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.