Active NPI
Venice J Grant
- Clinical Psychologist
- Stockton, CA
National Provider Identifier
1508771502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- VENICE J GRANT
- Practice address
- 2453 Grand Canal Blvd Ste 216
Stockton, CA 95207-8138 - Phone
- (209) 800-7611
- NPI assigned
- Aug 17, 2026
- Organization subpart
- No
NPPES NPI Registry
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 Director
- Phone
- (510) 875-3752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2453 Grand Canal Blvd Ste 216
Stockton, CA 95207-8138
Mailing address
5517 Vintage Cir
Stockton, CA 95219-2510
Phone (209) 800-7611
National Provider Directory
National Provider DirectoryLocations
2453 Grand Canal Blvd
Ste 216
Stockton, CA 95207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1508771502",
"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": "209-800-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2453 GRAND CANAL BLVD STE 216",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078138",
"telephone_number": "209-800-7611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENICE J GRANT",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-16",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "VENICE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "510-875-3752",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"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 Aug 17, 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.