Organization Active NPI

Granted Wellness & Psychological Services, P.C.

  • Clinical Psychologist
  • Stockton, CA
National Provider Identifier
1225972946
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GRANTED WELLNESS & PSYCHOLOGICAL SERVICES, P.C.
Practice address
2453 Grand Canal Blvd # 216
Stockton, CA 95207-8138
Phone
(510) 875-3752
NPI assigned
Apr 15, 2026
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Dr. Venice J Grant, PSYD
Title
Clinical Psychologist
Phone
(510) 875-3752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

2453 Grand Canal Blvd # 216
Stockton, CA 95207-8138

Mailing address

5517 Vintage Cir
Stockton, CA 95219-2510
Phone (510) 875-3752

National Provider Directory

National Provider Directory

Locations

2453 Grand Canal Blvd
#216
Stockton, CA 95207
Phone (510) 875-3752

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1225972946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 VINTAGE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192510",
            "telephone_number": "510-875-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 GRAND CANAL BLVD # 216",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078138",
            "telephone_number": "510-875-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTED WELLNESS & PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "VENICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-875-3752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.