Individual provider Active NPI

Jessica Grove, PSYD

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1215669148
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810007711 Issued in VA
Practice address
4008 Piney Rd
Richmond, VA 23222-1032
Phone
(856) 812-1357
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 0810007711 VA
Clinical Psychologist 103TC0700X 0810007711 VA Primary

Addresses

Primary practice location

4008 Piney Rd
Richmond, VA 23222-1032

Mailing address

723 Twinridge LN
North Chesterfield, VA 23235-5270
Phone (804) 206-9130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910003255 VA Practitioner - Clinical Psychologist 2062915655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

1806 Summit Ave
300 199
Richmond, VA 23230-4339
Phone (415) 343-5839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810007711VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Clinic CT PLLC CurrentSince Jul 19, 2025 Accepting new patients
Grove Psychological Services Current Accepting new patients

Locations

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

723 Twinridge Ln
North Chesterfield, VA 23235
Phone (540) 208-3188

1806 Summit Ave
#300199
Richmond, VA 23230
Phone (415) 343-5839

Organizations & group practices 2

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1215669148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 TWINRIDGE LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355270",
            "telephone_number": "804-206-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 PINEY RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232221032",
            "telephone_number": "856-812-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "VA",
            "license": "0810007711",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.