Venice Jade Grant, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

401 E Sonterra Blvd Ste 375
San Antonio, TX 78258-4321

Phone

(209) 800-7611

NPI assigned

Jun 9, 2021

Reactivated

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Body Medicine Inc

  • Psychiatry Physician
  • Stockton, CA
  • NPI 1871278754
  Medicare reassignment
• Prism Neurohealth PC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1912813502
  Authorized official Same address or phone
• Venice J Grant

  • Clinical Psychologist
  • Stockton, CA
  • NPI 1508771502
  Authorized official Same address or phone

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1366019168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E SONTERRA BLVD STE 375",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584321",
            "telephone_number": "209-800-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SONTERRA BLVD STE 375",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584321",
            "telephone_number": "209-800-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "VENICE",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "deactivation_date": "2026-08-17",
        "reactivation_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl F Grant Jr., MSW
• Jazmine Raenay Grant
• Sheena Mary Grant, M.D.
• Sheryl L Grant
• Thomas M. Grant, PHD, LCSW,LPC
• Grantham Medical, PLLC
• Krista Grantham, PA-C
• Lauren Grantham
• Zoe Grantham, BA, RBT
• Amber Grapevine, MS, RD

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.

Verify at the official NPI Registry.